Provider Manual

Contact Us

Physical Address	Mailing Address	Main Phone
895 Washington Avenue Portland, ME 04103	Martin’s Point Health Care PO Box 9746 Portland, ME 04104-5040	Switchboard: 1-800-322-0280 Phone: 207-774-5801

Click here for contact information for Martin's Point Health Care Centers

Department	Phone	Email/Mailing
Provider Inquiry Member Eligibility Benefits Claims Pharmacy Coverage General Questions	Toll-Free: 1-888-732-7364 Fax: 207-253-6233	Martin’s Point Health Care Attn: Provider Inquiry PO Box 9746 Portland, ME 04104-5040
Health Management Pre-Authorization Medical Necessity Utilization/Case/Disease Management Discharge Planning Subacute/Home Care Inquiries	Toll-Free: 1-888-339-7982 Fax: 207-828-7865	Martin’s Point Health Care Attn: Health Management PO Box 9746 Portland, ME 04104-5040
Living Healthy Programs Wellness Coaching Disease Management Care Management	Toll-Free: 1-877-659-2403 Fax: 207-828-7858	Martin’s Point Health Care Attn: Healthy Living PO Box 9746 Portland, ME 04104-5040
Behavioral HealthCare Program Pre-Authorization	USFHP: 1-888-812-7335 Generations Advantage: 1-888-708-4532	Behavioral HealthCare Program 110 Free Street Portland, ME 04104-3908
Network Management Provider Contracting Provider Data Credentialing	Toll- Free: 1-800-348-9804 Phone: 207-253-6930 Fax: 207-828-7870	Provider Change Questions (inquiries only, use DataPoint for submissions) [email protected]
		Credentialing Questions [email protected]
		New Contract Requests - Click here [email protected] Attach a copy of your W-9 (Submission is not a guarantee of contract extension. A Representative from our Network Management Department will follow up within 30 days with a determination for your request.)
Network Management- Syracuse Area Office	Toll-Free: 1-866-876-7377 Fax: 315-451-5493	101 Old Cove Road, Suite 112 Liverpool, NY 13090
Compliance	Toll-Free: 1-800-297-8616	Martin’s Point Health Care Attn: Compliance 331 Veranda Street Building #2 Portland, ME 04104-5040
Health Plan Quality	Quality questions	[email protected]

Claims

*Electronic Claims Submission*	*Paper Claims Submission*
Relay Health Phone: 1-866-735-2963 Relayhealth.com Payor ID: MPHC2	US Family Health Plan Claims Department PO Box 11410 Portland, ME 04104-7410
Office Ally Phone: 1-866-575-4120 Officeally.com Payor ID: MPHC1	Generations Advantage Claims Department PO Box 11410 Portland, ME 04104-7410
Change Healthcare Phone: 1-800-845-6592 Emdeon.com Payor ID: 53275

Pharmacy Services

Martin’s Point Health Care	Attn: Pharmacy Department PO Box 9746 Portland, ME 04104-5040
Martin’s Point Clinic Pharmacy – Portland	Phone: 1-888-408-8281 Phone: 207-791-3756 Fax: 207-828-2495
Martin’s Point Clinic Pharmacy – Portsmouth	Phone: 1-800-603-0562 Phone: 603-436-0562 Fax: 603-427-6155
Martin’s Point Health Care Mail-Order Pharmacy-US Family Health Plan	Phone: 1-800-707-9853 Phone: 207-791-3748 Fax: 207-828-2483
Martin’s Point Generations Advantage Part D	CVS/Caremark Claims: 1-888-296-6992