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Click ‘Get Form’ to open the iha provider inquiry form in the editor.
Begin by entering today’s date at the top of the form. This helps track your submission.
Fill in your Provider Name and NPI/ID Number, ensuring accuracy for identification purposes.
Complete the Billing Address section, including City, State, Zip, and Phone number. If applicable, include an extension.
Provide the Contact Name and Member Name to clarify who is submitting the inquiry and which member it pertains to.
Enter the Date of Service and Member ID # for reference on the specific claim being addressed.
Indicate Acct # and Claim # if available, as this information is crucial for processing your request.
Select one of the provided options regarding your inquiry to ensure it is directed appropriately.
In the Provider Comments section, add any additional notes or clarifications that may assist in processing your inquiry.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

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What is a provider inquiry?

Provider Inquiry means any question related to provider matters or issues that can be resolved within the first call or email or in. Sample 1.

What is an independent healthcare provider?

For questions or more information please call 888-663-6331 opt 3. Hours of Operation: 8 AM to 10 PM ET weekdays; 10 AM to 8 PM ET weekends and bank holidays. We aim to provide you with the highest quality care and service. Please email us at feedback@onemedical.com if you have any feedback you would like to share.

What is the phone number for independent health providers?

If you have any questions, our Provider Relations Department can be reached at (716) 631-3282 or 1-800-736-5771, Monday through Friday from 8 a.m. to 5 p.m.

What is the phone number for independent health self funded provider?

Please contact the Independent Healths Provider Relations Department by phone at (716) 631-3282 or 1-800-736-5771 Monday through Friday from 8 a.m. to 6 p.m.

What is a self funded health insurance plan?

An independent provider is a healthcare professional who is not employed by a hospital or other medical institution. Instead, they work independently, providing care to patients in their own private practice.

provider inquiry form

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Iha provider inquiry form 2025

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How to use or fill out iha provider inquiry form with our platform

Complete this form in 5 minutes or less

Got questions?

What is a provider inquiry?

What is an independent healthcare provider?

What is the phone number for independent health providers?

What is the phone number for independent health self funded provider?

What is a self funded health insurance plan?

Try more PDF tools

Iha provider inquiry form 2025

Here's how it works

How to use or fill out iha provider inquiry form with our platform

Complete this form in 5 minutes or less

Got questions?

What is a provider inquiry?

What is an independent healthcare provider?

What is the phone number for independent health providers?

What is the phone number for independent health self funded provider?

What is a self funded health insurance plan?

provider inquiry form

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