105 Westwood Place — Suite 400
Brentwood, Tennessee 37027
Provider Call Center:
myNEXUS utilizes CMS National and Local Coverage Determinations (NCD and LCD’s) when applicable, or medical policies and clinical utilization management guidelines to facilitate the appropriate evaluation of medical necessity by including assessment of the member throughout the continuum of care. A synopsis of the criteria is available to providers and members on request and free of charge by calling myNEXUS at 833-585-6262 or by emailing provider_network@myNEXUScare.com.
Please contact the myNEXUS provider network team with any questions at provider_network@myNEXUScare.com.