For Providers

Thank you for participating in the Mount Carmel MediGold Health Plan provider network. We are committed to partnering with our providers to build strong relationships and make working with us easier. You can find the most requested provider information and resources by using the navigation on the left.

Announcement

Update Regarding Change Healthcare

On February 21, 2024, Change Healthcare experienced a cybersecurity issue impacting the healthcare sector nationally. Our health plan has no direct applications managed by Change Healthcare. To date, we have not received reports of delays affecting member care or safety.

While Change Healthcare has a downstream relationship with our claims processing vendor, our vendor took immediate action to disconnect Change Healthcare's systems. Our vendor continues to actively process claims received via SSI Claimsnet and stands ready to process additional transactions once Change Healthcare resumes their transmissions with our vendor. Please note that at this time, our health plan remains unable to produce electronic remittance advices for providers partnered with Change Healthcare until Change Healthcare resumes their transactions with our vendor.

If your organization must submit paper claims, we ask that you please send all paper claims to the following address:

PO Box 830697
Birmingham, AL 35283

Helpful Resources

• Member Evidence of Coverage documents
• Member Formulary (Drug List)
• Centers for Medicare and Medicaid Services website
• Medicare Managed Care Manual

Questions? We're here to help.

Our Provider Services team is just a phone call away.

Call: 1-800-991-9907 (TTY: 711)

Fax: 1-833-900-0607

Hours: 8 a.m. to 5 p.m., Monday through Friday