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Questions and Answers

Where are claims mailed?
Claims should be mailed or filed electronically by your provider to the address on the back of your ID card.

Who should my provider or I call if I am going to be admitted to the hospital?
To pre-certify a hospital admission. Contact the Pre-certification phone number listed on your ID card.

Can PHA provider nation-wide access to healthcare?
Yes. PHA offers access to medical care to employees and beneficiaries in all states plus District of Columbia.

Is PHA and Insurance Company?
PHA is not a health plan, and we do not underwrite risk. A major advantage of PHA is our “portability”. Clients can use the PHA managed care system with their existing indemnity plan and TPA or insurance carrier. PHA is willing to work with any carrier/claims administrator.

How many providers are part of PHA?
More than 400,000 physician, hospital and other health care providers are PHA participating providers nationwide.

How current are PHA’s online directories?
Our on-line provider search capability is updated daily. You can also verify a provider’s participation by calling our toll-free customer service line.

How does PHA channel patient to its network?
PHA encourages strong benefit plans that direct or channel participants to PHA network providers within state-specific guidelines for directing care. Increasing network penetration means more health care cost savings for payors and patients.

How can I get more information about PHA?
Would you like to receive PHA marketing materials or have a PHA representative call you? The easiest way to contact PHA is via this website. You can also call us at 1-800-533-4742.

What advantage does PHA offer?
PHA brings value and distinct benefits to customers and members, including:

  • One-stop shopping for customers seeking a national network of healthcare providers with a flexible, timely and cost-effective administrative interfacing.
  • Broad access to a national PPO with the provider discounts of regional players.
  • A customizable provider network that continues to grow geographically to an aggressive expansion strategy allowing clients to meet their own strategy expansion needs throughout the county.
  • A commitment to customer excellence and successful business partners which includes a nationwide customer service center and dedicated management, provider relations and marketing teams.
  • An online provider directory that allows a member to search for network providers 24 hours a day 7 days a week.

How does one obtain information on the PHA provider network or other products?
You may call the PHA Sales and Marketing Department at 1-800-533-4742

What type of customer service do you offer?
Our Customer Care Representatives can help you with provider referrals and claims status, resolve issues and answer questions. You can reach our Customer Care Center at
1-800-533-4742 between 8:30 a.m. and 4:30 p.m. Pacific Standard Time, Monday through Friday.

How do I find a network provider?
The find a provider section of this web site allows you to search for a provider by name, specialty, city, or zip code and for a facility using city and name. Or you can call PHA Customer Care at 1-800-533-4742 between 8:30 a.m. and 4:30 p.m. Pacific Standard Time, Monday through Friday a representative will assist you.

How can I find out if my doctor is in the PHA network?
Click on find a provider to search for a provider by name, specialty, city or zip code, and for a facility using city and name. Or you can call PHA Customer Care at 1-800-533-4742 between 8:30 a.m. and 4:30 p.m. Pacific Standard Time, Monday through Friday a representative will assist you.

Where can I get more information?
You can get more information by calling 1-800-533-4742.

 
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