PSM Quick Reference Guide Detego Health

DetegoHealth.com

24 / 7 / 365

Member Login Portal

Member & Dependent Details,

My Claims, Forms, Find a Doctor or Lab

Member Portal Registration

Detego Health Member Portal Login Link

Detego Health Member Registration Link

7:00AM - 5:00PM (CST)

General Questions HR:

Needs to add a new employee

or terminate an existing employee

Qualifying Life Event:

Marriage, divorce, birth, child adoption,

loss of employment, etc.

Email: MemberServices@DetegoHealth.com

Call: (866) 815-6001

www.GuideCM.com

Monday - Friday

8:00AM - 5:00PM (CST)

Precertification:

We work with doctors to make sure procedures,

imaging, and therapy are necessary.

Coordination with Green Imaging:

CT, MRI, Mammograms, etc.

Case Management:

Provides support to members with medical issues.

Email:info@GuideCM.com

Call:(866) 837-1714

www.NaviClaim.com

Monday - Friday (866) 837-1436

8:00AM - 5:00PM (CST)

Advocates and Claims Questions:

Single Case Agreements and General Benefit Questions.

Why was my claim processed this way?

info@NaviClaim.com

(866) 837-1436

24 / 7 / 365

Click on your plan’s Network’s

below to find a provider (Primary,

Mental Health, Specialists) in your

area. Note: Your Plan’s Network can

be found on your ID Card.

PPO PLANS:

First Health Network

PHCS

Health Smart

RBP PLANS:

PHCS

24 / 7 / 365

Locate In-Network Pharmacies:

Click on your plan’s PBM’s logo to find

a pharmacy in your area. Note: Your

Plan’s Network can be found on your ID Card.

Pharmacy Locator Link:

Medalist RX

Ventegra

www.ScriptAide.com

Monday - Friday

8:00AM - 5:00PM (CST)

Prescription Access Assistance:

We help members get medications not

covered by insurance and find covered

medications at a lower cost.

info@ScriptAide.com

(866) 837-1515

24 / 7 / 365

Questions: Call MyLiveDoc regarding

Telehealth.

(855) 226-6567