Claim Disputes
Claim Dispute Resolution
Submitting Claims to Prime Health.
Providers may submit disputes via email claimdisputes@primehealthservices.com, or via fax to 615-329-4411. Providers with questions may also call our Claims Resolution Department at 1-866-348-3887. Prime Health is dedicated to a fast response for disputed claims which applied a Prime Health discount. Our average turnaround for dispute resolution is 5 to 7 business days.
Please also note that Prime Health is not the carrier and thus not the payer of claims. Any questions regarding payment status should be directed to the insurance carrier and/or bill review vendor listed on the corresponding Explanation of Benefits.
Dispute Submission Guidelines
Prime Health Services does not ask our Providers to change their billing practices.
Our claims submission process should follow your normal course of practice. Should you ever have questions or concerns, please contact our customer service center at customerservice@primehealthservices.com
If you have questions about our clients or the claims they have paid please email the specific issue to claimsinquiries@primehealthservices.com
We look forward to working with you and appreciate your participation in our network.