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Customer Contact Center
Online Request Form

Gilsbar’s customer representatives are ready to assist you with your questions from 7:00 AM to 7:00 PM CST. Our experienced team of representatives will be glad to answer your call.

Health Plan Members: (888)-472-4352
Providers: (888)-215-9841

You can also reach a customer representative by completing the request form below. All electronic inquiries received by 4:00 PM CST are answered on the same business day. Inquiries received after 4:00 PM or on weekends/holidays are answered the next business day.

* = required
*Your Name:  
*I am the:
*Patient’s Name:  
*Participant’s Name:  
*Participant’s SSN or Member ID #:  
*Group Number:  
*Your Email:    
*Your Phone Number:  
*Subject of Request:
*How would you like to be contacted?:
Provider:
*Message:  
*To verify the participant, please supply at least one of the following:
 
Participant Date of Birth:  
Home Address:
Home Phone Number:  
 
      
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