Utilization review line: 800-866-0105

Quick answer

Utilization review and maternity management line. Pre-certification is handled online or by a representative; the menu also offers case status and the provider portal.

Call observed . The recorded menu was reviewed. Phone menus can change.

Line at a glance

Department
Utilization review and maternity management department
Answered by
Automated phone menu → Live person
How to respond
Keypad
Supported languages
English

Skip the call

What the line says

Transcribed from the calls observed . Caller identifiers are masked.

Greeting · 1 min 44 s

Thank you for calling the utilization review and maternity management department. This call may be monitored or recorded for quality assurance. If this is a medical emergency or you believe you need immediate care, please contact your primary care physician or seek emergency services. Para escuchar este mensaje en español, por favor, presione uno. Please listen carefully as our caller menu has recently changed to better serve you. For questions regarding eligibility, benefits, or claims, press 3. For information regarding our provider portal or to obtain our fax number, press 6. To check the status of a case using the Hines automated pre-certification status system, press 7. Please have your case reference number ready. For pre-certification or maternity management services, to notify us of a need for healthcare services from a provider or patient, or to check or update the status of an existing pre-certification case, please submit your request online at www.presertcare.com. that's www. precertcare.com. or press 5 to speak with the next available representative. if you are a patient calling to speak with your case manager or if you're calling for education or assistance locating a mental health counselor, press 9. to reach the company directory, press 8. if you know the extension you wish to dial, you may dial it at any time. to repeat this menu, press star.

Press 6 · 1 min 42 s

Thank you for calling the utilization review and maternity management department. This call may be monitored or recorded for quality assurance. If this is a medical emergency or you believe you need immediate care, please contact your primary care physician or seek emergency services. Para escuchar este mensaje en español, por favor, presione uno. Please listen carefully as our caller menu has recently changed to better serve you. For questions regarding eligibility, benefits, or claims, press 3. For information regarding our provider portal or to obtain our fax number, press 6. To check the status of a Are you streamlining your provider experience? Heinz provider portal makes it easier to pre-certify. You can submit requests and clinical, check status of a case and so much more. To learn about the provider portal or to register, please visit heinzassos.com/providerportal. That's www. hinesassoc.com. provider. Our fax number is 847 316 0031. Are you streamlining your provider experience? Heinz provider portal makes it easier to pre-certify. You can submit requests and clinical, check status of a case and so much more.

More questions about (800) 866-0105 (2)
How do I reach a representative at 800-866-0105?

Press 5 to speak with the next available representative.

What is the fax number?

The recording on option 6 gave the fax number as 847-316-0031.

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.