Healthfirst Customer Service Telephone Number – Health First Phone Number for Members | |
| Healthfirst Leaf and Leaf Premier Plans | 888-250-2220 |
| Healthfirst Essential Plans | 888-250-2220 |
| Medicaid Managed Care and Child Health Plus | 866-463-6743 |
| Personal Wellness Plan | 855-659-5971 |
| Medicare Advantage Plans, Medicare Special Needs Plans, Healthfirst HMO B Small Group, and Healthfirst Healthy NY Small Group | 888-260-1010 |
| Healthfirst AbsoluteCare FIDA Plan Participant Services | 855-675-7630 |
| Senior Health Partners | 800-633-9717 |
| Total Plan and Pro Plan Members | 855-789-3668 |
| Other/Not Sure | 866-463-6743 |
| Healthfirst EPO | 855-789-3668 |
| Member Enrollment | Health Leaf Plans: 888-974-9901 Healthy NY small group: 888-260-1010 |
Healthfirst Customer Service Telephone Number – Health First Phone Number for Care Management | |
| Care Management (For Members diagnosed with high risk conditions or in need of care coordination) | 800-404-8778 |
Healthfirst Customer Service Telephone Number – Health First Provider Phone Number | |
| Provider Services | Health First Provider Phone Number : 888-801-1660 |
Healthfirst Customer Service Telephone Number – Health First Phone Number for Broker | |
| Broker Services | 855-456-3668 |
Healthfirst Customer Service Telephone Number – Health First Phone Number for a Small Business Owner | |
| A Small Business Owner | 855-949-3668 |
Healthfirst Customer Service Telephone Number – Health First Phone Number for Plan Renewal | |
| Healthfirst Plan Renewal | 855-566-2620 (Medicaid Managed Care and Child Health Plus) 855-718-1822 (Essential Plan and Leaf Plans) |
Healthfirst Customer Service Telephone Number – Health First Phone Number for Utilization Management | |
| Utilization Management (Pre-authorization) | 888-394-4327 |
Healthfirst Customer Service Telephone Number – Health First Phone Number for any Compliance | |
| Compliance concerns, Fraud/abuse | 877-879-9137 |
Healthfirst Address List | |
| Healthfirst address for Claims Submission | PO Box 958438, Lake Mary, FL, 32795 – 8438 |
| Healthfirst address for First Level Appeal Requests | Healthfirst Correspondence Department PO Box 958438 Lake Mary, FL 32975 – 8438 |
| Healthfirst address for Second Level Appeal Requests | Healthfirst Provider Claims Appeals PO Box 958431 Lake Mary, FL 32975 – 8431 |
| Healthfirst address for Provider Services | PO Box 5168 New York, NY 10274 – 5168 |
| Healthfirst address for Members Services | PO Box 5165 New York, NY 10274 – 5165 |
| Healthfirst address for Utilization Management services | PO Box 5166 New York, NY 10274 – 5166 |
Healthfirst Timely Filing Limit | |
| Healthfirst Timely Filing Limit Claims Submission | 180 Days from the DOS |
Healthfirst Timely Filing Limit to submit First Level of Appeal | |
| Reviews and Reconsideration | Claims must be submitted within 90 Days from the paid date on the Explanation of Payment |
| Corrected Claims | Claims must be submitted within 180 Days of the Date of Service and must be marked as “Corrected Claims” |
Healthfirst Timely Filing Limit to submit Second Level of Appeal | |
| Provider Claims Appeals | Claims must be submitted within 60 Days from the date on the reconsideration letter. |
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