Provider Relations 314-214-8137
(Member Eligibility, Benefits, Claim Status 800-596-4315
FAX 314-810-8350 or
800-466-9854
Prior Authorization 314-214-8282
Referrals & Prior Authorization/ 800-647-2240
Pharmacy/Formulary Concerns)
FAX 314-214-8102 or
800-466-9854
Case Management 866-222 6655
FAX 314-214-8102 or
800-466-9854
Member Services
Commercial 314-214-8196 or
800-327-0763
Mercy MedicareADVANTAGE 314-214-8040 or
800-280-1602
TDD 314-214-8099 or
800-990-7840
Language assistance also available
Claims Submission Mercy Health Plans
P.O. Box 4568
Springfield, MO 65808-4568
Administrative and Claim Appeals Mercy Health Plans
Attn: Provider Appeals Dept.
14528 S. Outer Forty Road, Suite 300
Chesterfield, MO 63017-5743
FAX 314-214-8107 or
800-466-9854
Medical Necessity Written Documentation Mercy Health Plans
Attn: Medical Management
14528 S. Outer Forty Road, Suite 300
Chesterfield, MO 63017-5743
FAX 314-214-8102 or
800-466-9854
Clinical Appeals Mercy Health Plans
Attn: Corporate Appeals Department
14528 S. Outer Forty Road, Suite 300
Chesterfield, MO 63017-5743
FAX: 314-214-8233 or
800-466-9854
Compliance Hotline (report activity suspicious of fraud, waste or abuse) 314-214-2300
877-349-5997
siuinvestigations@mercy.net
Provider Demographic Changes Mercy Health Plans
(name, TIN, address, phone, W-9 Attn: Provider Information Mgt.
numbers, notice of NPI numbers) 14528 S. Outer Forty Road, Suite 300
Chesterfield, MO 63017-5743
FAX 314-214-8107 or
800-466-9854
Offices are open during the regular business hours of 8 a.m. to 5 p.m., Monday through Friday. MHP is closed for select holidays.