Who to Call at Paramount

 

Who to Call at Paramount

The team at Paramount Advantage Medicaid stands ready to answer your questions and provide the information you need to care for your patients – and our members! Here are a few of the things that we would be happy to help you with:

·        Credentialing

­   New provider applications

­   Re-credentialing questions

·        Member Services

­  All member questions and grievances

­   Primary care provider change requests

­   Interpreter services

·        Provider Inquiry

­  Member benefits and eligibility

­   Claim status inquiries

­   Claim processing issues

­   Referral and authorization verification

·        Provider Relations

­  Provider and office staff education

­   Contract issues

­   Orientations and webinars

­   New product participation requests

­   Representative office visit requests

·        Utilization and Case Management

­  Obtaining in-plan and out-of-plan prior authorizations

­   Case and care management

­   Behavioral health out-of-plan requests

­   General clinical inquiries

·        Pharmacy

­   Obtaining drug prior authorizations

For an easy reference that includes important Paramount Medicaid phone and fax numbers, download Who to Call at Paramount.

 

What you need to know about Paramount’s new electronic claims system

Paramount launched a new electronic claims system on June 1. This only impacts the Paramount Advantage Medicaid product line for claims with dates of service on or after June 1, 2021. Here are a few things to know:

• There are no changes to your clearinghouse for electronic claims submission.
• Each Paramount Advantage Medicaid member has be assigned a new 11-digit member identification number. It starts with a number 1, such as 12345678901.
• Members will receive new cards with their new numbers over the next few weeks.
• The old ID numbers, which started with the letter A, are still active and can be used if you do not have the new ID.
• You can find a member’s new number on their ID card, the Explanation of Payment generated by the new system, or the provider portal.
• As part of this launch, the Paramount provider portal is under construction. It should be fully functional later this month. In the meantime, use this document to help you find the information that you need.
• For more information about the new electronic claims system, please visit our provider page on paramounhealthcare.com. Here, you’ll find a recorded presentation from a webinar that Paramount hosted as well as FAQs.
  
  

If you have questions, call your provider relations representative or email ProviderRelations.Paramount@promedica.org.