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Neighborhood Health Plan of Rhode Island fax number

(401) 709-7005

Grievance and Appeals Department

Used for: Filing member grievances and appeals; submitting an Authorized Representative Form and related medical/claims documentation to Neighborhood Health Plan of Rhode Island.

Fax destination details

Department
Grievance and Appeals Department
Purpose
Filing member grievances and appeals; submitting an Authorized Representative Form and related medical/claims documentation to Neighborhood Health Plan of Rhode Island.
Form
Appointment of Representative (AOR) Form — Appointment of Representative (AOR) Form
Address
Grievances and Appeals Department, 910 Douglas Pike, Smithfield, RI 02917
Voice phone
1-844-812-6896

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
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Download, complete, and fax to NHPRI at 1-401-709-7005; you can also appoint a CMS authorized representative per the CMS process.

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