Submit Zing Health Inpatient Prior Authorization requests faster and easier via Availity Essentials Portal.
Register Now to create an account, refer to Quick Start Guide if you need help creating an account.
If your organization is registered, please Login to your account and refer to the next section for tips
and tricks on submitting Authorizations.
Provider Service Resources
Zing Health Customer Service can assist providers with prior authorizations, eligibility, PCP changes, and more.
- Phone:1-866-946-4458 (TTY 711)
- Fax:1-844-946-4458
- Email: [email protected]
- Portal: Availity Provider Portal
Learn how to get registered and access Availity today.
Provider Manual Zing Health MA Provider Manual.
Print the Provider Quick Reference Guide to have the information you need most often at your fingertips.
If there are any changes to your practice, please fill out the Provider Change of Information Form so we may keep your directory entry up-to-date.
Model of care training is required for providers within 90 days of contracting with Zing Health and annually thereafter.
Claim Resources
Timely filing is 365 days from the date of service or date of discharge
unless otherwise specified in the provider agreement.
Electronic Claims
Our Payor ID is 83248. Providers may utilize their existing or preferred clearinghouse, billing service, or trading partner to submit claims for processing and payment by Zing Health. For questions regarding EDI, please send an email to [email protected].
A non-contracted provider may request a reconsideration for a denied claim within 60 calendar days from the remittance notification date.
Paper Claims
- Send paper claim submissions to Zing Health, P.O. Box 240599, Apple Valley, MN 55124
- Corrected claims must be submitted to the same address within 60 days from the date of the denial explanation of payment (EOP)
- For claim payment disputes, provide the information in this form and send to Zing Health by Email: [email protected], Fax:844-918-4458, or Mail ATTN: Provider Disputes, Zing Health, Inc., 225 W Washington St Suite 450, Chicago, IL 60606
Utilization and Prior Authorization Resources
- Submit Pre Service Auth for Post Acute Care (SNF, IRF, LTACH, Home Health) via WellSky
- Submit Zing Health Inpatient Prior Authorization requests faster and easier via Availity Essentials Portal
- Prior Authorization Form
- Prior Authorization List
- Prior Authorization Email: [email protected]
- Prior Authorization Fax:1-844-946-4458
- Appeals (Prior Auth) Email: [email protected]
- Appeals (Prior Auth) Fax:1-844-917-4458
- Transition of Care/Continuity of Care
- Case Management and Disease Management Reference Forms
- Medical Necessity Clinical Criteria
- Continuous Glucose Monitor Policy
- Continuous Glucose Monitor Form
- Inflation Reduction Act Provider Notice
- National and Local Coverage Determinations
- Medicare Policy Manuals
- Part B Step Therapy Policy
Fax: 1-855-946-4458or1-312-809-9404
Broker Support Email:[email protected]
Customer Service: 1-866-946-4458
Compliance Hotline: 1-844-919-4458
Compliance Reporting: 1-844-919-4458
Website: https://mycompliancereport.com
Broker Support Online: https://myzinghealth.com/broker
Broker Support Phone Number: 1-844-946-4226
Broker Support Service Hours: 8:00AM CST -5:00PM
CST Monday - Friday
Visit Commission Portal
Order Supplies and Marketing Materials
Liberty Dental (dental benefits): 1-866-946-4458
EyeMed (vision benefits): 1-866-946-4458
NationsHearing (hearing benefits): 1-877-391-8637
Silver&Fit (fitness benefits): 1-877-427-4788
Elixir (pharmacy benefits): 1-866-946-4458
MD Live (telehealth benefits): 1-800-657-6169
24/7 Nurse Advice Line: 1-855-494-6877
Papa (in-home support benefits): 1-866-946-4458
Collect LeadsDownload a print-ready contact card to collect information from beneficiaries interested in learning more about Zing Health.
Confirm Scope of Appointment For field agents who are engaging with the beneficiary in person, a paper SOA should be obtained from the beneficiary. All telephonic sales are required to be recorded in its entirety including the SOA.
Paper SOA Confirmation Form
File an Event You may participate in approved educational or sales events on Zing’s behalf. Just fill out a participation agreement and fax it to 1-855-946-4458 or 312-809-9404.
Submit Zing Health Inpatient Prior Authorization requests faster and easier via Availity Essentials Portal.
Register Now to create an account, refer to Quick Start Guide if you need help creating an account.
If your organization is registered, please Login to your account and refer to the next section for tips
and tricks on submitting Authorizations.
2024 Prescription Drug
Coverage Determination
2024 Prescription Drug Policies &
Procedures
Interactive Drug Cost
Calculator
Find out how much a drug will cost your patient on a monthly and annual basis. Select the plan type and enter the drug information in the drug cost calculator to get cost information specific to your patient’s coverage.
Fax: 1-855-946-4458or1-312-809-9404
Broker Support Email:[email protected]
Customer Service: 1-866-946-4458
Compliance Hotline: 1-844-919-4458
Compliance Reporting: 1-844-919-4458
Website: https://mycompliancereport.com
Broker Support Online: https://myzinghealth.com/broker
Broker Support Phone Number: 1-844-946-4226
Broker Support Service Hours: 8:00AM CST -5:00PM
CST Monday - Friday
Visit Commission Portal
Order Supplies and Marketing Materials
Liberty Dental (dental benefits): 1-866-946-4458
EyeMed (vision benefits): 1-866-946-4458
NationsHearing (hearing benefits): 1-877-391-8637
Silver&Fit (fitness benefits): 1-877-427-4788
Elixir (pharmacy benefits): 1-866-946-4458
MD Live (telehealth benefits): 1-800-657-6169
24/7 Nurse Advice Line: 1-855-494-6877
Papa (in-home support benefits): 1-866-946-4458
Collect LeadsDownload a print-ready contact card to collect information from beneficiaries interested in learning more about Zing Health.
Confirm Scope of Appointment For field agents who are engaging with the beneficiary in person, a paper SOA should be obtained from the beneficiary. All telephonic sales are required to be recorded in its entirety including the SOA.
Paper SOA Confirmation Form
File an Event You may participate in approved educational or sales events on Zing’s behalf. Just fill out a participation agreement and fax it to 1-855-946-4458 or 312-809-9404.
Submit Zing Health Inpatient Prior Authorization requests faster and easier via Availity Essentials Portal.
Register Now to create an account, refer to Quick Start Guide if you need help creating an account.
If your organization is registered, please Login to your account and refer to the next section for tips
and tricks on submitting Authorizations.
Zing’s plans integrate Medicare Parts A and B benefits with Part D prescription drug coverage, along with providing robust extra benefits.
Because we look at the whole person, benefits for dental, vision, hearing, fitness, telehealth, transportation, and OTC supplies are an important part of keeping our members well. We even provide meals for members who were recently discharged from the hospital.
Zing Health utilizes an innovative, personalized model of care that keeps the member and their primary care provider at the center, while supporting them with a holistic care team that includes nurse care managers, behavioral health clinicians, social workers, and connections to community organizations.
Zing accomplishes this while also reducing health care expenses and eliminating financial barriers for its members.
Model of care training is required for providers within 90 days of contracting with Zing Health and annually thereafter.
Because Zing Health only offers Medicare Advantage plans, our tight focus allows us to take the time to get to know our members; partner with them and their providers to develop comprehensive, customized care plans; connect them with resources relating to social determinants of health; and provide concierge-level customer service.
We believe that providers should be able to spend more time with patients and less on paperwork and administration, and our payment model reflects that. After all, you can’t address the social determinants of health affecting your patients if you are too rushed to have a conversation with them about their lives outside of the clinical setting.
That’s why we are actively looking for provider partners who embrace value-based contacting. Our innovative payment model rewards providers for improved outcomes at lower costs instead of offering incentives for increased utilization.
We help providers achieve these goals by promoting use of preventive care and ancillary care to keep members well. Our data-driven, tech-enabled platform simplifies identifying gaps in this care for their patients. We’ve also developed novel results-oriented utilization management methods that help providers improve outcomes for their patients while reducing paperwork burdens.
Where is Zing Health Available?
How Can I Become a Zing Health Provider?
Send an email to [email protected] call our Provider Services team at1-866-946-4458 or fill out the form at right.
Instructions for Accessing Clinical Guidelines
Step 1 Disclaimer: Select the “Clinical Care Guidelines” link to where you will land on MCG disclaimer page.
- • You must check the “Accept Terms and Conditions” box and select the “Accept and Proceed” button to continue to the next page.
Step 2 User Information: Next you will be required to enter the following information:
- • First Name
- • Last Name
- • Select the button the most closely aligns with your interest in MCG care guidelines.
- • Select “Next”
Step 3 Contact Information: MCG will ask for your preferred way of receiving a verification code. Select from
- • Text message
- • Telephone call
- • Select “Next”
Step 4 Access Code: Enter the code once received via your preferred method.
- • Click on the ► desired product to be a shown a list of MCG care guidelines selected for the client’s program.
- • Click on the guidelines you wish to review. Copy/pasting, printing, or other methods of duplication are not allowed.
- • Once finished Select “Back to Guidelines” list or close your tab.