Coordination of Benefits (COB) 

For help with coordination of benefits, call 1-800-556-2477. 

Credentialing 

Providers who would like to become an MVP Participating Provider can learn more on our Provider Credentialing page.

Customer Care Center for Members 

To find the appropriate Customer Care Center phone number for a Member, please refer to the back of their Member ID card. Providers can verify Member eligibility and benefits in their Provider online account, or by calling the MVP Customer Care Center for Provider Services at 1-800-684-9286.

Durable Medical Equipment (DME) 

For all MVP plan types, email authorizationrequest@mvphealthcare.com or fax 1-888-452-5947.

Hospital Billing Questions

Call MVP’s Provider Services at 1-800-684-9286, or contact us via mail at: 

MVP Health Care 
Hospital Billing Coordinator 
PO Box 2207 
Schenectady, NY 12301-2207

Pharmacy

MVP Formularies for all products are available on our Provider Pharmacy page. 

For formulary exception and prior authorization requests, a Medication Prior Authorization Request form should be submitted. This, and all medication request forms, can be found on our Provider Forms page. 

If you are submitting the form for a non-Medicare Member, please fax it to 1-800-376-6373. For Medicare Advantage, MVP Managed Medicaid, and Child Health Plus Members please fax the form to 1-800-401-0915.

Updating Your Online Demographics

Providers who wish to update their demographic or payment information with MVP should complete the Online Demographic Change Form.

For other matters, please email MVP Professional Relations

Utilization and Case Management

For Case Management, call 1-866-942-7966

Providers may call the MVP Customer Care Center for Provider Services at 1-800-684-9286, or fax utilization management (UM) requests to the appropriate number below.