Contact Us

Need to contact us about Optima Health Community Care?
Optima Health Community Care Contact Information

Main Phone Line

24–Hour Interactive Voice Response
757-552-7474 or 1-800-229-8822, option 2

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  • Claims Mailing Addresses

    Medical/LTSS Claims
    P.O. Box 5028
    Troy, MI 48007-5028

    Behavioral Health Claims
    P.O. Box 1440
    Troy, MI 48099-1440

  • EDI and EFT/ERA Information

    EDI Questions
    Existing customers with questions about EDI (the 837 process) should email the EDI Team at

    EFT/ERA Enrollment Questions
    If you have questions about enrolling in EFT/ERA, please email

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  • Member Services

    Members should call the member services number listed on their member ID card or Contact Us.

  • Network Educators

    757-552-7085 or 1-877-865-9075
    Fax: 757-552-7114

  • Pre–Authorizations

    Medical Care Management Pre–authorizations
    757-552-7540 or 1-800-229-5522
    Fax: 757-552-7429 or 1-877-800-2839

    Behavioral Health Pre–authorizations
    757-552-7174 or 1-800-648-8420, option 2
    Fax: 757-552-7176 or 1-877-800-2839

  • Provider Connection Support

    Medical Provider Customer Service: 757-552-7474
    Behavioral Health Provider Customer Service: 1-800-648-8420
    8 a.m. to 5 p.m. Monday through Friday

    Emails are responded to within three business days.

  • Provider Relations

    Medical Provider Service Representatives
    757-552-7474 or 1-800-229-8822
    8 a.m. to 5 p.m. Monday through Friday
    Fax: 757-552-7316

    Behavioral Health Provider Service Representatives
    757-552-7174 or 1-800-648-8420
    8 a.m. to 6 p.m. Monday through Friday
    Fax: 757-552-7499

    Emails are responded to within three business days.

  • Quality Improvement

    757-252-8400 or 1-844-620-1015

Join Our Network

A physician who wants to join the Optima Heath network.

If you are interested in joining our provider network, we have the information you need to get started.

Learn How to Join