Contact Us

Do you need more information or have a question? Please fill out the below form or contact us at 1-877-644-4613.

Your inquiry will be reviewed. A Coordinated Care representative may contact you regarding your inquiry. If you have an urgent medical situation please contact your doctor. If you have a life threatening emergency, please contact 911.

If you need language or translation assistance, please view the Translation & Other Formats page for more information.

Required fields are marked with an asterisk (*)

First Name *

Last Name *

Member ID

Street Address

City

State

Zip Code

Year of Birth

Phone

Email *

Question/Comment *

First Name *

Last Name *

NPI Number

Practice / Clinic / Facility Name

Street Address

City

State

Zip Code

Phone

Email *

Question/Comment *

First Name *

Last Name *

Organization

Street Address

City

State

Zip Code

Phone

Email *

Question/Comment *

The Contact Us form will send your message to Coordinated Care as an email. The email is not encrypted and is not transmitted in a secured format. By communicating with Coordinated Care through email, you accept the risks associated thereof. Coordinated Care does not accept responsibility or liability for any loss or damage arising from the use of email. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal or Provider Portal, or you can call us at 1-877-644-4613 to speak directly to a customer service representative.