Have you ever brought a prescription to your pharmacy, and when they called Priority Health for approval, it was denied? Have you ever had the same situation with a medical service? Did you know what your next step should be? It is a simple one – just flip over your Priority Health medical card and call the Customer Service line at 800-956-1954. They will also need your Contract Number from the front of your card in order to identify you as an NMC participant. Just as an aside, this number is for customers who have self-funded plans like NMC does, so the customer service rep who picks up the phone will be expecting to look at a plan other than the general Priority Health plans.
You will find that once you (or the service provider) speak to the right person at Priority Health who actually looks at the coverage in NMC’s plan, they can often resolve the issue right then. Unfortunately, sometimes incorrect information is given if the rep looks at general Priority Health plans and not NMC’s plan. If you still have problems, feel free to call HR at 995-1362 for assistance. However, in most cases HR cannot get you any extra help unless our Priority account manager can find a call in their history from the individual member.
If you have any questions about this or other NMC benefits, feel free to contact HR at 995-1362 or 995-1025.