Consumers Life - Health Plans for Life

Provider Services

Check Claims, Benefits and Eligibility!

Contact our Provider Services Department any time Monday through Friday
between 7 a.m. and 6 p.m. EST by using the phone number listed on
the member's ID card or by calling one of these numbers:

Provider Inquiry: 800/362-1279

Electronic Claims: 800/321-7223

Electronic Referrals: 800/733-3706

Or send correspondence by mail to:
ConsumersLife
P.O. Box 94875
Cleveland, OH 44101-4875

Provider Action Request Form

Please fill the form out completely. Any blanks or incomplete information could delay or cause your request to be returned unprocessed.

You may also submit your information via U.S. Mail. Simply download the PDF version of the PAR Form and send it to us.

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Fields marked with * are required.

Provider Information

*Requester/Contact Name:

 

*Provider Email Address:

 

*Telephone Number:

 

*Nine Digit Tax Number:

 

NPI Number:

*Provider Name:

 

*Address:

 

*City:

 

*State:

 

*Zip Code:

 


Patient Information

*Identification Number:

 

*Patient Name:

 

*The Company Claim Number:

 

*Service Date(s) Questioned:

 

*Services provided in:


Type of Request

Explanation required for all the following, except Medical review.

Explanation:  
 

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Professional Providers

PLEASE CONTACT THE APPROPRIATE OFFICE LISTED BELOW FOR QUESTIONS CONCERNING:

  • Contracting with Consumers Life
  • Administrative policies/procedures including referrals and precertification

  • Columbus

    9961 Brewster Lane
    Powell, Ohio 43065
    800/235-4026
    614/932-7270
    614/932-7254 fax

  • Dayton

    6450 Poe Avenue
    Suite 111
    Dayton, Ohio 45414
    800/422-8339
    937/898-3350
    937/898-3401 fax

  • Cincinnati

    Summit Woods Corporate Center II
    300 E Business Way
    Suite 370
    Cincinnati, Ohio 45241
    800/589-2583
    513/684-8140
    513/684-8121 fax

  • Hospital/Institutional Providers

    Regional Network Administrators:
    Akron/Canton: 216/687-7249
    Cincinnati/Dayton: 216/687-6048
    Cleveland: 216/687-6549
    Columbus: 614/932-7246
    Toledo: 216/687-6087
    Youngstown: 216/687-7249
    Fax for all regions: 216/687-1450

  • Toledo

    3737 Sylvania Avenue
    Toledo, Ohio 43623
    888/258-3482
    419/473-6283
    419/473-7024 fax

  • Cleveland

    2060 East 9th Street
    Mail Zone 01-6A-7509
    Cleveland, Ohio 44115-1355
    800/625-2583
    216/687-6064
    216/687-6585 fax

  • Ancillary Providers

    All Ohio
    2060 East 9th Street
    Mail Zone 01-5B-3860
    Cleveland, Ohio 44115-1355
    216/687-7466
    216/687-1450 fax

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