Provider Manual - Rev. 03/2026 - Iowa Total Care Health Plan Contacts

Q: How do providers submit or manage electronic claims with Iowa Total Care?

Use the electronic claims submission channel listed under “Electronic Claims Submission.” Claim-related questions are routed via the contact numbers provided for “Claim Inquiries,” including options for Duals and Foster Care.

Q: Where should providers send claim disputes and provider claim refund requests?

Claim disputes are directed to the “ATTN: Claims Dept.” mailing address. Provider claim refunds to Iowa Total Care use the P.O. Box address provided under “Provider Claim Refunds to Iowa Total Care” (including the overnight receiving address when applicable).

Q: Which contacts are listed for prior authorizations and pharmacy prior authorization forms?

The guide provides separate phone/FAX contacts for Behavioral Health outpatient/inpatient, medical prior authorizations, and pharmacy services. Pharmacy prior authorization form support references CoverMyMeds Prior Authorization Forms with listed business hours.

Sep 21, 2026

Upload by Alex Sinclair

Provider Manual Quick Reference Guide for Iowa Total Care Health Plan Contacts, Rev. 03/2026. Lists provider-facing contact routes for appeals and grievances, contracting and credentialing, care coordination, electronic claims submission, claim payments, disputes, and refund inquiries. Provides mailing addresses, phone numbers (including TTY), websites, and email contacts for claim administration, fraud and abuse reporting, EFT/ERA payment services, admissions, eligibility, provider portal access, and clinical quality support. Includes authorization contact lines and pharmacy prior authorization resources.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages102

Reading Time4 h 17 min

AccessFree to download

Appeals/Grievances

Contracting & Credentialing

Care Coordination (BH/Medical/LTSS/Waiver)

Claims (Submission, Payments, Disputes, Refunds)

Fraud, Waste, and Abuse for Providers

Payments (EFT/ERA)

Admissions, Eligibility, and Member Services

Prior Authorizations (Medical, Behavioral Health, Pharmacy)

Provider Manual [IowaTotalCare.com](IowaTotalCare.com) ©2025 Iowa Total Care. All rights reserved. Rev. 03/2026 I-SS-OP-P-11849 Iowa Total Care Health Plan Contacts | Appeals/Grievances | | | Contracting | | | --- | --- | --- | --- | --- | | Phone:
FAX:
Website:
Email:
Hours: | 1-833-404-1061 (TTY: 711)
1-833-809-3868
[iowatotalcare.com/providers/resources/](iowatotalcare.com/providers/resources/) [grievance-process.html](grievance-process.html)[ ](grievance-process.html)[appealsgrievances@iowatotalcare.com](appealsgrievances@iowatotalcare.com)
Mon.– Fri., [8 a. m. to 5 p. m. CT](8 a. m. to 5 p. m. CT) | | Phone:
FAX:
Website:
Email:
Hours: | 1-833-404-1061 (TTY: 711)
1-833-208-1397
Contracting and Credentialing [networkmanagement@iowatotalcare.com](networkmanagement@iowatotalcare.com)[ ](networkmanagement@iowatotalcare.com)Mon.– Fri., [8 a. m. to 5 p. m. CT](8 a. m. to 5 p. m. CT) | | | | | | | | | | | Credentialing and Recredentialing | | | | | | | | | Care Coordination – BH/Medical/LTSS/Waiver | | | Phone:
FAX:
Website:
Email:
Hours: | 1-833-404-1061 (TTY: 711)
1-833-208-1397
Contracting and Credentialing [networkmanagement@iowatotalcare.com](networkmanagement@iowatotalcare.com)[ ](networkmanagement@iowatotalcare.com)Mon.– Fri., [8 a. m. to 5 p. m. CT](8 a. m. to 5 p. m. CT) | | Phone:
Website:
Email:
Hours: | 1-833-404-1061 (TTY: 711)
[iowatotalcare.com/providers/resources/](iowatotalcare.com/providers/resources/)[ ](iowatotalcare.com/providers/resources/)[integrated-care.html](integrated-care.html)[ ](integrated-care.html)[care_management@iowatotalcare.com](care_management@iowatotalcare.com)[itc_ltss@iowatotalcare.com](itc_ltss@iowatotalcare.com)
Mon.– Fri., [8 a. m. to 5 p. m. CT](8 a. m. to 5 p. m. CT) | | | | | | | | | | | | | | Electronic Claims Submission | | | Claim Payments, Disputes, & Refunds | | | Mailing Address:
Phone:
Website:
Email: | Iowa Total Care
c/o Centene EDI Department Payor ID: 68069 1-800-225-2573, ext. 6075525
[sites.edifecs.com/index.jsp?centene](sites.edifecs.com/index.jsp?centene)[ ](sites.edifecs.com/index.jsp?centene)(New Trading Partner Registration)
[EDIBA@Centene.com](EDIBA@Centene.com) | | Claim Inquiries | | | | | | Phone: | 1-833-404-1061 (TTY: 711)
1-833-765-8507 (Duals) 1-833-222-4832 (Foster Care) | | | | | Claim Disputes | | | | | | | Iowa Total Care
ATTN: Claims Dept.
P.O. Box 8030
Farmington, MO 63640-8030 | | | | | | | | | | | | | | Fraud, Waste, and Abuse for Providers | | | | | | Mailing Address:
Phone:
Email: | Iowa Total Care
ATTN: Special Investigations Unit
1080 Jordan Creek Pkwy, Suite 400 South West Des Moines, IA 50266
1-866-685-8664
[Special_Investigations_Unit@centene.com](Special_Investigations_Unit@centene.com) | | Payments – EFT and ERA Services | | | | | | Mailing Address:
Website:
Hours: | Iowa Total Care
1080 Jordan Creek Pkwy, Suite 400 South West Des Moines, IA 50266
Provider [Portal-](Portal-Provider.iowatotalcare.com)[Provider.iowatotalcare.com](Portal-Provider.iowatotalcare.com)[ ](Portal-Provider.iowatotalcare.com)Mon. -Fri. , 7:30 a. m. to 6 p. m. CT | | | | | | | | | | | | | | Hospital/Facility Admissions | | | | | | Phone:
FAX:
Hours: | 1-833-404-1061 (TTY: 711)
1-833-257-8327
Mon.– Fri., [8 a. m. to 5 p. m. CT](8 a. m. to 5 p. m. CT) | | Provider Claim Refunds to Iowa Total Care | | | | | | | Iowa Total Care, Inc.
P.O. Box 958092
St. Louis, MO 63195-8092 | | | | | | | | | | | | | | Member Eligibility | | | | | | Phone:
Website:
Hours: | 1-833-404-1061 (TTY: 711)
[iowatotalcare.com/providers/login.html](iowatotalcare.com/providers/login.html)[ ](iowatotalcare.com/providers/login.html)Mon. -Fri. , 7:30 a. m. to 6 p. m. CT | | Provider Claim Refunds Overnight | | | | | | | US Bank<

FAQs

How do providers submit or manage electronic claims with Iowa Total Care?

Use the electronic claims submission channel listed under “Electronic Claims Submission.” Claim-related questions are routed via the contact numbers provided for “Claim Inquiries,” including options for Duals and Foster Care.

Where should providers send claim disputes and provider claim refund requests?

Claim disputes are directed to the “ATTN: Claims Dept.” mailing address. Provider claim refunds to Iowa Total Care use the P.O. Box address provided under “Provider Claim Refunds to Iowa Total Care” (including the overnight receiving address when applicable).

Which contacts are listed for prior authorizations and pharmacy prior authorization forms?

The guide provides separate phone/FAX contacts for Behavioral Health outpatient/inpatient, medical prior authorizations, and pharmacy services. Pharmacy prior authorization form support references CoverMyMeds Prior Authorization Forms with listed business hours.

Sep 21, 2026

Upload by Alex Sinclair