TotalCare Waiver of Liability – Non-Par Provider Form
Non-Par Providers (Non-Contracted Providers) must complete this form to initiate any TotalCare D-SNP provider appeals.
Contact Provider Services
| General | 831-430-5504 |
| Claims Billing questions, claims status, general claims information |
831-430-5503 |
| Authorizations General authorization information or questions |
831-430-5506 |
| Authorization Status Checking the status of submitted authorizations |
831-430-5511 |
| Pharmacy Authorizations, general pharmacy information or questions |
831-430-5507 |
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