Questions about Customer Service
How do I contact Medicaid Managed Care?
How do I appeal a denied claim by GHI?
What if I require customer service?
What is my ID number and where can I find it?
How do I learn more about GHI dental?
The Medicaid Managed Care Program, available through GHI's HMO plans, is a public health insurance program for New York State residents who qualify for Medicaid. For information on Medicaid Managed Care, call New York Medicaid Choice at 1-800-505-5678. You may also visit the New York State Web site at www.health.state.ny.us.
If you would like to continue receiving Medicaid Managed Care from your current doctor, search our provider network or call us at 1-877-244-4466 to determine if your doctor is in the GHI HMO network. Make sure to verify that your provider participates with GHI before scheduling an appointment.
If GHI denies a claim that you've submitted, or makes a decision that you believe is unfair, you have a right to appeal that determination.
In reviewing your claim, we may find a service that is not a covered benefit under your GHI plan. If that happens, we will send you a letter of Adverse Determination. That letter will include instructions on how to appeal our decision. Simply follow the instructions to file your appeal.
- Call GHI now at 800-444-2333, or
- Complete this form and our sales team will respond to you, or
- Call your insurance broker or agent
We always welcome your questions and comments. Whether you're a potential customer, a current member, one of our providers or an employer or agent, we want to be sure you get the information you need. Click on the links below to find the best way to contact us.
Sales
- If you're considering GHI insurance for your business or family
Members
- If you're currently insured by GHI
Providers
- If you're a GHI participating provider or considering joining GHI's network
Agents/Brokers
- If you sell GHI insurance
Employers/Groups
- If you have employees with GHI insurance
Employment Opportunities
- If you're considering a career with GHI
GHI offers you two convenient ways to access customer service:
Online Member ServicesGHI's Web site is a valuable resource for a variety of essential benefits-related information. To ensure that you receive timely information regarding your account, our Web site is updated continually. Among other online features, you can:
- Review the status of your claims
- Obtain benefits summaries
- Download forms, including claim forms and Dependent Student Certification forms.
- Find A Doctor using criteria such as network, zip code or county, specialty or provider's name.
To assure confidentiality, members must have a Personal Identification Number (PIN) to retrieve any personal data. Simply Register for myGHI and a PIN will be sent to you.
GHI AnswerLine
Another convenient way to get help from customer service is to utilize our automated customer service telephone system - GHI AnswerLine. Available around the clock, GHI AnswerLine provides information on issues such as:
- Claims status
- Patient eligibility
- Basic benefits and copayment information
You can also obtain claim forms and providers' names, as well as order new ID cards through GHI AnswerLine. To access GHI AnswerLine, you need a touch-tone telephone. Simply call 212-501-4GHI or 4444 (New York City office) or 315-432-0826 (Syracuse office) and follow the user-friendly instructions. Example: If you are a Subscriber, press 1. If you are a Provider, press 2. Depending on what information you require, you will be prompted to press the appropriate key or keys. The GHI AnswerLine "Help" option can be accessed by pressing 3 on your touch-tone telephone.
You can find it on your GHI Member card.
When you receive your PIN, you must use it at least once to activate it. After that you can change it to a password of your choice using our Change Member PIN form.
Please send a request to our Customer Service department specifying your ID number, full name and Date of Birth.
You can learn more about GHI dental here.
