Contact Us
MEMBERS
| Member Services Contact Center | 1-866-431-0801 (toll free) |
| Member Services Contact Center Fax | 1-320-335-5223 |
PROVIDERS
| Provider Contact Center | 1-866-431-0802 (toll free) |
| Provider Contact Center Fax | 1-320-335-5285 |
MEDICAL, DME, HOME CARE, AND MENTAL HEALTH/CD
Medical, DME, Home Care, and Mental Health/CD Service Authorization
Phone:1-866-431-0803 (toll free, Monday – Friday, 8:00 a.m. – 4:30 p.m.)
Fax:1-866-431-0804 (toll free)
Medical Claim Submission
PO Box 69348
Harrisburg, PA 17106-9348
Provider Appeals
Fax:1-320-335-5285
Adjustment Requests
Attn: Claim Adjustments
PrimeWest Health
2209 Jefferson St, Ste 101
Alexandria, MN 56308
OR
Fax:1-320-335-5355
PHARMACY
Pharmacy Service Authorization (Formulary Exceptions) – Prime Therapeutics
Eligibility/Benefit and Service Authorization
Phone:1-800-711-9866 (toll free)
Fax:1-866-469-5662 (toll free)
Pharmacy Claim Submission
Prime Therapeutics, LLC
Mail Route PWEST
PO Box 64812
Saint Paul, MN 55164
DENTAL
Eligibility/Benefit and Service Authorization Questions
Phone: 1-866-431-0802 (toll free)
Dental Claims Issues/Questions
Phone: 1-877-999-5394 (toll free)
Dental Claim Submission
PrimeWest Health
1335 Industrial Blvd, Ste 150
Minneapolis, MN 55413-4800
Dental Service Authorization Requests
(Appropriate documentation required)
Attn: Care Coordination
PrimeWest Health
2209 Jefferson St, Ste 101
Alexandria, MN 56308
OR
Fax: 1-320-762-8750
| PROVIDER CREDENTIALING | |
| Amanda Henning, Credentialing Specialist
amanda.henning@primewest.org |
1-320-335-5245 |
| Leah Anderson, Credentialing Specialist leah.imdieke@primewest.org |
1-320-335-5272 |
| Stephanie Revering, Credentialing Specialist stephanie.revering@primewest.org |
1-320-335-5230 |
PRIMEWEST HEALTH DIRECTORY
| Main Office Address: PrimeWest Health 2209 Jefferson St, Ste 101 Alexandria, MN 56308 |
Main Office Phone: Main Office Toll Free: Main Office Fax: |
1-320-763-4135 1-888-588-4420 1-320-762-8750 |
| Northern Office Address: PrimeWest Health 3124 Hannah Ave NW Bemidji, MN 56601 |
Northern Office Phone: Northern Office Fax: |
1-218-308-2800 1-218-308-2801 |
| Administration | |
| Jim Przybilla, CEO jim.przybilla@primewest.org |
1-320-335-5250 |
| Kathy Hungness, PHR, Director of Administrative Services k.hungness@primewest.org |
1-320-335-5200 |
| Charles McKinzie, MD, Chief Medical Director chuck.mckinzie@primewest.org |
1-320-335-5247 |
| Rebecca Fuller, Corporate Compliance Officer rebecca.fuller@primewest.org |
1-320-335-5240 |
| Madonna Andrews, Compliance Specialist madonna.andrews@primewest.org |
1-320-335-5275 |
| Tasha Baker, Administrative Specialist tasha.baker@primewest.org |
1-320-763-4135 |
| Karen Landwehr, Administrative Support Coordinator
karen.landwehr@primewest.org |
1-320-335-5251 |
| Marlene Lindstrom, Administrative Assistant kmarlene.lindstrom@primewest.org |
1-218-308-2800 |
| Care & Quality Management (C&QM) | |
| Karen Rau, BSN, MBA, Director of Care & Quality Management karen.rau@primewest.org |
1-320-335-5210 |
| Kari Akers, Care Coordinator Specialist kari.akers@primewest.org |
1-320-335-5248 |
| Leah Anderson, Credentialing and Network Specialist leah.anderson@primewest.org |
1-320-335-5272 |
| Jennifer Bundy, RN, BSN, PHN, CCP, Complex Care Coordinator jennifer.bundy@primewest.org |
1-320-335-5351 |
| Elaine Carlquist, BSN, PHN, CCP, EW Senior Care Coordinator elaine.carlquist@primewest.org |
1-320-335-5354 |
| Ann Challes, RN, Complex Care Coordinator ann.challes@primewest.org |
1-320-304-1044 |
| Jackie Corson, Senior Care Administrative Assistant jackie.corson@primewest.org |
1-320-335-5260 |
| Karen Gunvalson, Utilization Management/Credentialing Specialist karen.gunvalson@primewest.org |
1-320-335-5203 |
| Amanda Henning, Credentialing and Network Specialist amanda.henning@primewest.org |
1-320-335-5245 |
| Kristin Himes, Appeals & Grievances Coordinator kristin.himes@primewest.org |
1-320-335-5233 |
| Kelly Irish, RN, BA, CCP Behavioral Health Care Coordinator
kelly.irish@primewest.org |
1-320-335-5364 |
| Judy Kluver, Quality Specialist judy.kluver@primewest.org |
1-320-335-5211 |
| Bethany Krafthefer, PIP Coordinator bethany.krafthefer@primewest.org |
1-320-335-5392 |
| Catie Lee, MBA, Mental Health/Integrated Care/Shared Care Manager catherine.lee@primewest.org |
1-320-335-5283 |
| Rita Lee, Appeals & Grievances Specialist rita.lee@primewest.org |
1-320-335-5393 |
| Chicky McKinzie, RN, BSN, Site Visit Coordinator chicky.mckinzie@primewest.org |
1-320-335-5209 |
| Vicki McTigue, CPC, Utilization Management Specialist vicki.mctigue@primewest.org |
1-320-335-5261 |
| Mindy Meyer, RN, Utilization Management Care Coordinator mindy.meyer@primewest.org |
1-320-335-5265 |
| Troy Mills, CPhT, Utilization Management Specialist troy.mills@primewest.org |
1-320-335-5361 |
| Rachel Narveson, LPN, HEDIS Specialist rachel.narveson@primewest.org |
1-320-335-5352 |
| Jayne Nyhammer, MAM, CHC, Quality Manager jayne.nyhammer@primewest.org |
1-320-335-5226 |
| Steve Olson, PharmD, Pharmacy Manager steve.olson@primewest.org |
1-320-335-5216 |
| Becki Pender, RN, CCP, Senior Care Manager becki.pender@primewest.org |
1-320-335-5204 |
| Sarah Pianka, Data Coordinator sarah.pianka@primewest.org |
1-320-335-5221 |
| JoAnn Ressemann, Senior Care Coordination Specialist joann.ressemann@primewest.org |
1-320-335-5237 |
| Stephanie Revering, Credentialing and Network Specialist stephanie.revering@primewest.org |
1-320-335-5230 |
| Chelsey Rhoads, Behavioral Health Specialist chelsey.rhoads@primewest.org |
1-320-335-5267 |
| Jill Rudolph, RN, Utilization Management Care Coordinator jill.rudolph@primewest.org |
1-320-335-5350 |
| Shirley Saathoff, Senior Care Coordination Specialist shirley.saathoff@primewest.org |
1-320-335-5206 |
| Kristi Shamp, RN, BSN, Utilization Management Care Coordinator kristi.shamp@primewest.org |
1-320-335-5377 |
|
Anita Simbana, RN, CPUR, Clinical Systems Admin./Client Business Analyst
anita.simbana@primewest.org |
1-320-304-4152 |
| Sandy Sullwold, Utilization Management Assistant sandy.sullwold@primewest.org |
1-320-335-5220 |
| Kristin Wilson, RN, BSN, MSN, PMAP/UM Manager kristin.wilson@primewest.org |
1-320-335-5201 |
| Robin Zimmerman, Credentialing and Network Manager robin.zimmerman@primewest.org |
1-320-335-5213 |
| Marketing & Communications (M&C) | |
| Beth Hendrickson, Director of Marketing & Communications beth.hendrickson@primewest.org |
1-320-335-5215 |
| Cassie Jacobson, Graphic Designer cassie.jacobson@primewest.org |
1-320-335-5238 |
| Laura Kleinschmidt, Graphic Designer laura.kleinschmidt@primewest.org |
1-320-335-5345 |
| Jill Klimek, Marketing Manager jill.klimek@primewest.org |
1-320-335-5256 |
| Laura Rahn, Associate Editor laura.rahn@primewest.org |
1-320-335-5279 |
| Elizabeth Sim, Editor elizabeth.sim@primewest.org |
1-320-335-5254 |
| Sara Uhlenkamp, Marketing Specialist sara.uhlenkamp@primewest.org |
1-320-335-5381 |
| Member & Enrollment Services (M&ES) | |
| Pauletta Gesch, MHSA, Director of Member & Enrollment Services pauletta.gesch@primewest.org |
1-320-335-5212 |
| Barb Carstens, Senior Enrollment Reconciliation Specialist barb.carstens@primewest.org |
1-320-335-5249 |
| Meghan Floen, Member Services Administrative Assistant meghan.floen@primewest.org |
1-320-335-5349 |
| Becky Jirik, Enrollment Services Manager becky.jirik@primewest.org |
1-320-335-5219 |
| Jason Johanson, Member Enrollment Specialist jason.johanson@primewest.org |
1-320-335-5227 |
| Matt Magnuson, Member Services Manager matt.magnuson@primewest.org |
1-320-335-5243 |
| Melissa Peterson, Member Services SNBC Coordinator melissa.peterson@primewest.org |
1-320-335-5380 |
| Jessica Rupert, Wellness Benefit Coordinator jessica.rupert@primewest.org |
1-320-335-5375 |
| Kathleen Satko, Member Enrollment Specialist kathleen.satko@primewest.org |
1-218-308-2806 |
| Information Systems & Technology (IS&T) | |
| Jamie Hess, MHA, Director of IS&T – HIPAA Compliance Officer jamie.hess@primewest.org |
1-320-335-5225 |
| Dan Benson, Information Systems Specialist – Operations dan.benson@primewest.org |
1-320-335-5208 |
| Mike Lounsbery, Help Desk Supervisor mike.lounsbery@primewest.org |
1-320-335-5362 |
| Jamie Zabel, Website Coordinator jamie.zabel@primewest.org |
1-320-335-5396 |
| Ryan Wildman, Network and Telecommunications Coordinator ryan.wildman@primewest.org |
1-320-335-5287 |