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FAQs

Please contact our Provider Relations Department for an application.

Maryland Physicians Care
1201 Winterson Road, 4th Floor
Linthicum Heights, MD 21090
1-800-953-8854

Maryland Physicians Care
P.O. Box 5080
Farmington, MO 63640-5080

Send resubmissions to the same address — marked “Resubmission” on the claim.

Contact Provider Services at 1-800-953-8854.

Call the Provider Relations Department at 1-800-953-8854 or contact your assigned provider representative. You can also find the preferred drug list on this website.

Maryland Physicians Care assigns every network provider a representative. Provider representatives are in regular contact with providers and/or office staff. You can confirm the name and phone number of your provider representative by calling the Provider Relations Department at 1-800-953-8854.

MEDICATION REQUEST THROUGH THE PHARMACY BENEFIT

Contact ESI prior authorization department at 1-800-753-2851, or print the applicable prior authorization forms for Outpatient Pharmacy Medications Processes and fax to 1-877-251-5896.

MEDICATION REQUEST THROUGH THE MEDICAL BENEFIT

Contact Pharmacy prior authorization department at 1-800-953-8854, or print the applicable alternative pharmacy prior authorization form and fax to 1-866-207-7231.

You can find the applicable forms here (PDF).

PRE SERVICE REQUEST

Contact the prior authorization department at 1-800-953-8854, or print the applicable prior     authorization form and fax to 1-800-953-8856.

NOTIFICATION OF INPATIENT ADMISSION

Contact the prior authorization department at 1-800-953-8854, or print the applicable prior authorization form and fax to 1-800-385-4169.

You can find the applicable forms here (PDF).

Contact the State of Maryland's Eligibility Verification System (EVS) at 1-866-710-1447 or contact Member Services at 1-800-953-8854 to verify enrollment.

Please refer to the HealthChoice Benefit Summary page for a brief description of covered benefits. For a more complete description of benefits, please refer to the Member Handbook.

Call Maryland Health Connection at 1-855-642-8572. Visit the Maryland Health Connection website for additional information.