Access most member eligibility, benefits and claims information, review pre-authorization requirements and submit requests online, use the Onboarding Tracker to view contracting status and more.
Sign in, register or learn more.
Get the answers you need on demand, online, 24/7. Our provider self-service tool helps you get the most out of partnering with us. See helpful answers to our most frequently asked questions and quickly navigate our tools and website resources.
Let us know immediately about changes to your practice and billing information. View our directory attestation requirements and learn how to validate your provider directory information.
Still need help? Contact us
For information that cannot be served by Availity Essentials or our self-service tool, our Provider Contact Center is available Monday through Friday, 6 a.m. - 5 p.m. (PT). Call 1 (888) 349-6558. Interactive voice response (IVR) is available 24/7.
View contact information at asurisdental.com or email our dental provider relations team at dentalproviderrelations@asurisdental.com.
Group and Individual (commercial):
Asuris Northwest Health
PO Box 1106
Lewiston ID 83501
Medicare Advantage:
Asuris Northwest Health
Medicare Advantage
PO Box 1106
Lewiston ID 83501
Refer to your provider agreement for instructions when submitting a network termination notice as language may vary. Always send network termination notices by certified mail or as indicated in your agreement. Include the following in your notice:
- Your name
- Confirmation email address
- Practice name
- Tax ID
- NPI number
Reason for network termination
Send certified mail to:
Asuris Northwest Health
Attention: Network Management
200 SW Market Street, 11th floor
Portland, OR 97201
Refer to your provider agreement for instructions about using a third-party service provider as language may vary. Always send third-party notices by certified mail or as indicated in your agreement. Include your name or practice name, tax ID, NPI number and the following information about the third-party service provider:
- Name
- Address
- Effective date
Confirmation that the third-party service provider has the authority to act on behalf of the provider
Send certified mail to:
Asuris Northwest Health
Attention: Network Management
200 SW Market Street, 11th floor
Portland, OR 97201
Dental providers: Notices for termination for dental providers should be sent to dentalproviderrelations@asurisdental.com
The process for submitting an appeal depends on your issue. Review our pricing disputes and appeals information to ensure you are following the correct process.
For balance billing information, view our Pricing disputes and appeals or call our Provider Contact Center at 1 (888) 349-6558.
Medical provider, hospital or facility
- Submit appeals and any supporting documents using the Appeals application on Availity Essentials
- Fax: 1 (866) 273-1820.
Large documents or documents sent by certified mail may be sent to:
Asuris Attention: Appeals
P.O. Box 1248
Lewiston, ID 83501-1248
Commercial dental providers
Dental Customer Service Appeals
P.O. Box 69437
Harrisburg, PA 17106-9437
MedAdvantage dental providers
Medicare Advantage/Medicare Part D
Appeals and Grievance B32AG
P.O. Box 1827
Medford, OR 97501
Medical provider, hospital or facility
Provider Contract Termination Appeal
Attention: Credentialing Department: MS LD1N
P.O. Box 1106
Lewiston, ID 83501-1106
Commercial dental providers
Provider Contract or Credentialing Termination Appeal
Attention: Provider Relations
P.O. Box 45132
Jacksonville, FL 32232-9902
Learn who to contact for electronic transaction issues such as:
- Availity payer list
- EFT hotline number
- Request for raw data
- Third party vendor support
- EDI batch transactions support
Missing ERA835s or rejected medical or dental claims
Availity
- Phone 1 (800) 282-4548
Create an eTicket or online chat in Availity Essentials: Help & Training>Availity Support>Contact Support
You can remain anonymous. Phone 1 (877) 878-2273.
- General: 1 (800) 323-1693
- Medicare (Parts C and D): 1 (800) 323-1693
Submit your feedback on our medical policies by completing the secure online contact form.
Members can use the Member reimbursement form to submit claims for medical, pharmacy, dental and vision services covered by Asuris. Members should only use this form if their health care provider is not submitting the claim.
Emails from us that contain personal health information are sent securely through Securemailbox Communications. Please view our secure email (Securemailbox) troubleshooting guide (PDF) to create an account in order to receive secure emails and, if needed, reset your password.
The Patient review feature gives our members the ability to provide feedback on their experiences with the health care system. You can respond to your patient's comments about their experience with you by completing and submitting the Provider Response Form (PDF).
TriWest
- Credentialing or contracting questions, email TriWest contracting
- Contact TriWest Healthcare Alliance at 1 (877) 266-8749 for any of the following:
- Authorization inquiries
- Claims inquiries
- View important information about TriWest's TRICARE and Community Care Network (CCN) provider networks
We require that you verify the information about your practice and the networks you participate in at least every 30 days. View the instructions for verifying your information and notifying us of changes.
Obtain order numbers for diagnostic imaging procedures:
- Use Carelon's ProviderPortal
- Phone Carelon at 1 (877) 291-0509
- View Radiology Quality Initiative program information and requirements
View workarounds for Carelon system outages
- Register via the eviCore healthcare's (eviCore) website
- Phone eviCore at (855) 252-1115
- Learn more about the Physical Medicine Program
View workarounds for eviCore system outages
Obtain an order number:
- Login to Carelon's ProviderPortal
- Phone 1 (877) 291-0509
- Learn more about the Sleep Medicine Program
- View workarounds for Carelon system outages
- General inquiries: Phone 1 (800) 643-5918 or Fax: 1 (800) 884-4282
- Medicare Part D: Fax: 1 (888) 335-3016
Prior Authorization: Fax: 1 (800) 884-4282
Contact information for pre-authorization varies by line of business and type of service or supply. Please refer to our pre-authorization lists for details.