Contact

Would you like to know more about the products PHP has to offer? Do you need to check on the status of a claim or have questions about benefits? Would you like to leave feedback about your customer experience? You can count on our caring customer service staff getting you the answers you need promptly, professionally, and reliably.

If you would like to talk to a Customer Service Representative for claims status, benefit information, and general assistance during PHP's office hours of 8:00 AM to 5:00 PM, Monday through Friday, please contact:

Voice: 260-432-6690, ext. 11
Toll Free: 1-800-982-6257, ext. 11
Fax: 260-432-0493
Email: custsvc@phpni.com
Address: 1700 Magnavox Way, Suite 201, Fort Wayne, IN 46804

Online Chat is also available through your member account weekdays from 8:00 AM - 5:00 PM.

For questions about participating with us, updating participation status or practice information, fee schedules, staff inservices, billing, and contracting efforts, contact:

Dawn Dager
Provider Contracting Supervisor
260-421-4304
ddager@phpni.com

Susan Werner
Director Provider Implementation & Services
260-421-4528
swerner@phpni.com

For questions about referrals and prior authorization requests, utilization reviews, disease management programs, and other health services, contact:

PHP Medical Management
260-432-6690, ext. 12

In our efforts to ensure that all of our members have the information they need to obtain quality healthcare, we have the ability to interpret over 140 different languages for non-English speaking members. Our Customer Service Department will coordinate with a translator to get immediate answers to your questions. Call or write us for more information.

Translation Services
1-800-982-6257

En nuestros esfuerzos de asegurarse de que todos nuestros miembros tengan la información que necesitan para obtener cuidado médico de la calidad, tenemos la capacidad de interpretar más que 140 diversos lenguajes para los miembros que no hablan inglés. Nuestro Departamento de Servicio al Cliente coordinará con un traductor para conseguir respuestas inmediatas a sus preguntas. Llámenos o escriba para más información.

Translation Services
1-800-982-6257

At PHP, we want to provide you with the highest quality of healthcare coverage. If you have concerns about your coverage, or questions regarding a claim payment, a grievance procedure has been established that allows you to request a reconsideration of any decision that you disagree with. To begin the process, please complete and return the Appeal Filing Form (included with every Explanation of Benefits) or call the Grievance and Appeal coordinator stating your question or concern. We will assist you in any way we can.

Grievance Appeal Coordinator
1-800-982-6257, ext. 361
custsvc@phpni.com

For questions about your rights or for assistance if your coverage is a group health plan through your employer, you can also contact:

Employee Benefits Security Administration
1-866-444-EBSA (3272)

Indiana's Department of Insurance
www.in.gov/idoi

Ohio's Department of Insurance
www.insurance.ohio.gov

Additionally, a consumer assistance program can help you file your appeal. Click here for a list of all state's agencies.