Medical Management Forms

Here's a quick link to the Prior Authorization Request form as well as out-of-network referral paperwork and more.

https://secureportals.phpni.com/provider/downloads/all

Medical Management

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

/resources/frequently-asked-questions

How do I get more information?

PHP's goal is to provide quality products and superior service. Questions about benefits, eligibility, claims payment, prior authorization, or the participation status of doctors, hospitals, or other facilities can be addressed by our Customer Service Department.

PHP Customer Service Department

260-432-6690, Extension 11
1-800-982-6257, Extension 11
260-459-2600 for the hearing impaired
custsvc@phpni.com

/resources/frequently-asked-questions

Where do I find doctors, hospitals, and facilities that are in my network?

Our provider directory helps you to find a doctor or a facility in your network. Please be aware that this information is updated on a regular basis. To be certain a doctor is participating, ask the office staff prior to receiving care, or call the PHP Customer Service Department. Always show your ID card at each visit.

/resources/frequently-asked-questions

What if I need medical care that isn’t available from a doctor participating in the network?

A referral to a non-participating doctor may be obtained if a uniquely specialized procedure is medically necessary and not performed by any participating doctors. This process must be requested by your participating doctor and approved by PHP, in writing, prior to receiving the services.

/resources/frequently-asked-questions

Who to Contact

Find out who to contact for questions about participating with us, updating participation status or practice information, fee schedules, staff in-services, billing, contracting efforts, and more!

/providers/php-at-a-glance/who-to-contact

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