866-316-8438: Northwell Direct Member and Provider Line
Quick answer
(866) 316-8438 reaches Northwell Direct. It is answered by automated phone menu → hold queue. From the greeting, press 1 for member: medical benefits; press 2 for provider; press 3 for prescription benefits; press 9 for repeat options.
Line at a glance
| Health plan | Northwell Direct |
|---|---|
| Department | Not listed |
| Purpose | Northwell Direct line, administered by Personify Health for Northwell Health, serving members, providers and prescription benefit callers. |
| Answered by | Automated phone menu → Hold queue |
| How to respond | Keypad |
| Supported languages | English |
| Hours | Not stated in the greeting |
| Have ready | Nothing requested in the greeting |
How to reach each option
| To reach | Do this | What happens |
|---|---|---|
| Member: medical benefits | 1 | |
| Provider | 2 | Opens a menuPoints to mycarehc.com for eligibility and claim status, then offers pre-certification and fax-back options or a representative. |
| Pre-certification | 2 then 2 | Opens a menuReplays the provider message with the pre-certification option and the representative queue. |
| Fax back of benefits or eligibility | 2 then 3 | |
| All other inquiries | 2 then Stay on the line | |
| Prescription benefits | 3 | |
| Repeat options | 9 | |
| 4-digit extension | # |
Shortcuts and conditional instructions
- If you are a member calling about medical benefits 1 Press 1
- If you are a provider 2 Press 2
- If you have a prescription benefit inquiry 3 Press 3
- If you know your party's 4-digit extension # Press pound
Skip the call
- Member eligibility and claim status, 24 hours a day www.mycarehc.com
Questions about (866) 316-8438
Where can providers check eligibility and claim status for Northwell Direct?
At mycarehc.com, which the line says is available 24 hours a day, 7 days a week.
How do providers reach pre-certification?
Press 2 for provider, then 2 for pre-certification.
Can I get benefits faxed to my office?
Yes. Providers press 2, then 3 for a fax back of benefits or eligibility.