Mercy Care

Pima County providers

Mercy Care is proud to continue serving ALTCS, DDD and Mercy Care Advantage (MCA) members in Pima County.

Mercy Care is experiencing a high volume of inquiries from members in Pima County who are enrolled in DDD, ALTCS and Mercy Care Advantage (MCA). These members are stating that their providers are informing them of contracting changes related to the AHCCCS Complete Care contract.

Please note: the 10/1 changes for the new AHCCCS Complete Care (ACC) program do not impact current DDD, ALTCS and MCA members in any GSA.

Mercy Care remains contracted with AHCCCS to provide services to members enrolled in ALTCS, DDD and MCA. If you have any questions please contact your Provider Relations Representative.

Fast, Easy Answers to Your Questions

Mercy Care’s new Interactive Voice Response, or IVR, system, makes it easy to get member and claims information 24/7. You can:

  • Access member benefits and eligibility information
  • Get answers to Frequently Asked Questions ‑ such as appeals address, payer ID, etc.
  • Obtain claim status at header level
  • Obtain claim status at line level
  • Obtain amount paid on a specific claim
  • Request single claim information by fax

 

Find out more here. IVR is available to Mercy Care RBHA providers Thursday, 9/20 and to all Mercy Care providers Wednesday, 9/26.

Provider Relations department

Our Provider Relations department serves as a liaison between Mercy Care and the provider community. Provider Relations is responsible for training, maintaining and strengthening the provider network in accordance with regulations.

If you need to check on the status of a claim, please use our secure web portal, MercyOneSource.   You may access MercyOneSource by clicking on the link in the top upper right hand corner of this web page under Find A Provider. You must be registered under MercyOneSource to access it. In order to register, please fill out our MercyOneSource Registration Form under the Forms section of our website. Please fax to the below number to start the process.  

If you have questions regarding a processed claim, either paid or denied, please feel free to contact our Customer Service department at 602-263-3000 or 800-624-3879, Express Service Code 626. Non-participating providers should contact our Customer Service department for all issues, in addition to claims issues.

You can fax directly to Provider Relations at 860-975-3201 the following information:

  • Notifying the plan of changes to your practice
  • Tax ID changes
  • Recent practice or provider updates
  • Termination from practice
  • MercyOneSource Registration Form

 Please feel free to contact our Provider Relations department for the following:

  • Questions regarding the MercyOneSource Registration Form or to check on enrollment status
  • Credentialing requirements
  • Provider Education

You can reach our Provider Relations department by calling 602-263-3000 or 1-800-624-3879, Express Service Code 631.

For your convenience, below you can find a listing of your assigned Provider Relations representative, as well as their detailed contact information: