Important Changes for Active Members of Northrop Grumman Corporation

Effective January 1, 2024, Northrop Grumman Corporation will contract with Quantum Health to perform health care navigation and care coordination services for their active member population only. As part of this contract, Quantum Health will support member healthcare and benefit needs, including member and care provider services and medical utilization review and submission to Anthem. Northrup Grumman Corporation active members may be identified by the group number beginning with 174022 on the member ID card. A sample ID card is below.

Anthem will remain responsible for claims adjudication and certain services as described below. Anthem will also remain the administrator of Behavioral Health Utilization Management, inclusive of retrospective reviews, and Case Management.

Quantum Health is the point of contact for member and care provider inquiries.

Quantum Health will be the point of contact for members and healthcare providers to verify:

• Benefit coverage information.
• Eligibility inquiries.
• Prior-authorization submission and review (as stated above).

Anthem will remain the point of contact for care providers for the following:

• Behavioral Health Utilization Management, inclusive of retrospective reviews and Case Management.
• Quantum Health will redirect care provider questions/inquiries to Anthem or local Blue for Medical and Behavioral Health Services for the following:
  • Care provider contracting.
  • Remittances.
  • Fee schedule.
  • Value Based Programs.
  • Network status.
  • Demographic information updates.

Sample Member ID card

Based on the information outlined above, there are changes in the Member Services and Provider Services/pre-certification phone numbers. These two new phone numbers are located on the back of the Medical Member ID card.

If you have any questions, please contact your provider relationship management representative. We are committed to a future of shared success.