Electronic Claims Submission

Office Ally

Payer ID: NEUEH

Claims Address

P.O. Box 8350

La Verne, CA 91750

Payment Vendor (EFT and Paper Check): Zelis. Please enroll when contacted or visit their site to sign up: http://neuehealth.epayment.center/

Phone: 855.496.1571

Utilization Review Criteria: To obtain a copy of the criteria used to make utilization review determinations, please call 888.293.6383

Disclaimer: Eligibility must be verified with the member's health plan.

Utilization Management

Prior Authorization Request Form

Modification Request Form

Financial Prohibition UM Determinations Statement

Provider Dispute Resolution

Provider Dispute Resolution Request Form

Member

Member Rights & Responsibilities