Your site key token displays. OHCA has updated coverage for laboratory testing of infectious diseases using molecular testing (CPT 87471-87801) effective Jan. 1, 2023. Hillsborough Health Care is not a second-party payer for any service covered by another payer resource. After registering, you will receive a confirmation email containing information about joining the webinar and reminder emails before the webinar begins. Learn their benefits and features. Visit the OHCA Provider Training page to register. Once enrolled, members will receive a card that shows they qualify for Hillsborough Health Care and that they are a member. 1-415-834-2118 (Local) Information on COVID-19 vaccines, testing, as well as resources and case tracking. 2023 UnitedHealthcare | All Rights Reserved, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources. Visit nh.gov for a for information regarding viewing this file format. Seeks resolution of a billing determination or other contractual dispute. Note: If you have not created your personalized site key token, you will be asked to do so before you sign into the HealthCare Portal. Group Number for Patients or Tax ID for Providers. These handy reference lists will help you determine at a glance all the information required for each service type. You can access both PDF and recorded sessions listed here at your convenience. View/Print Information About Subsidized Child Care Contact my local Department of Social Services or Local Purchasing Agency Visit the Division of Child Development and Early Education Website American Rescue Plan Stabilization Grants for Child Care Providers Portal Log On eHeath care providers can find information about Hillsborough County Health Care Plan (HCHCP) member eligibility, medical services covered by the plan, formulary information, referral and authorization requests, billing inquiries and information, a provider newsletter and links related clinical and educational sites. Microsoft Office Suite 2000 and later. For information, please call our Member Services at 1-415-834-2118. In Southern California, Optum-Connect.com is a convenient resource tool developed by Optum for Employed, Contracted and Ancillary Clinicians to make their practice more efficient and improve the quality of care delivered to our patients. Start by entering in your username and password. Providers will find the updated coverage guidelines on the Medical Authorization Unit's webpage.. Changes include reopening coverage for CPT code 87634 (RSV) and 87637 (COVID-19, Flu A&B, and RSV) when performed by hospital labs, independent labs or clinic . Your site key token displays. Providers will be prompted to use DocuSign to electronically sign new and renewal provider applications. The fiscal agent will require the caller to provide an 8- to 10-digit Health First Colorado (Colorado's Medicaid program) ID and the National Provider Identification (NPI) (if applicable) to release Health Insurance Portability and Accountability Act (HIPPA) protected information. Request services from Hillsborough County online 24 hours-a-day, 7 days-a-week 24/7 online development permitting solution. CMS Non-Contracted Provider Dispute Process (PDF). We work hard to be a reliable resource and advocate for our healthcare providers. Learn More About FHCP's Provider Relations Medication Education, Resources & Support Document Center Provider Newsletters Medication Formularies Contact Us Get training arrow_forward. The health plan cannot undertake a review until or unless such form/documentation is obtained. You can also use this page to report any changes in the providers information such as phone number, language, and location. CCHP is a health maintenance organization (or HMO) delivering full-suite of quality health plan coverage to over 23,000 Members. Step-by-step instructions guide you through submitting a negotiation request through the UnitedHealthcare Provider Portal. Check prior authorization and notification requirements, submit requests, upload medical notes, check status and update cases. Ask about how you can gain access to the Green Network. Accessing the InterGroup Green Network will save you money without sacrificing access to the providers you want most. Members must bring the cards with them each time they see a caregiver. Special Needs Plans (SNP) Model of Care Training (PDF) 2021 2022, Special Needs Plans (SNP) Model of Care Training (Video) 2021 2022, Training Attestation Form (PDF) 2021 2022. 601 E. Kennedy Blvd. Information is available for the mandatory Patient Assistance Program. InterGroup Services' PPO network has the most comprehensive selection of elite providers in the Mid- Atlantic region. Effective for dates of service starting Feb. 1, 2023, we will require prior authorization for the several drugs. Register to receive time-sensitive messages about emergencies and certain non-emergency events straight from us to you. Find eligibility guidelines, begin the enrollment process, and choose from doctors who accept the plan. Your site key token displays. Use the checklists for once-and-done submission! Request services from Hillsborough County online 24 hours-a-day, 7 days-a-week 24/7 online development permitting solution. Information on COVID-19 vaccines, testing, as well as resources and case tracking. Document Viewing. With our dedicated customer service and easy to use website, InterGroup . It's all right here at your fingertips. It is InterGroup Services goal to ensure we generate savings and satisfaction while simplifying the healthcare process. Our FHCP Provider Relations Department is here to assist you with the day-to-day automobile insurance, etc. Visit the OHCA Provider Training page to register. Access information about your provider user account. Click "Full Screen" in the upper right-hand corner to view in full screen. . Then save it. Information for Providers eHeath care providers can find information about Hillsborough County Health Care Plan (HCHCP) member eligibility, medical services covered by the plan, formulary information, referral and authorization requests, billing inquiries and information, a provider newsletter and links related clinical and educational sites. Its available 24/7 and at no cost to you. Through this secure and easy to use internet portal: If you navigate away from this page, you will lose unsaved data. YY: Patient has a specific illness or injury that is covered by another payer, i.e. Then save it. To save the document without opening it: Right-click the link in the document list and select "Save target as". To access the portal, you will need to create or sign in using a One Healthcare ID. To view a document and then save it: Click on the link in the document list to view the document in your browser. If you do not recognize your site key token, do not type your password. Effective Dec. 5, 2022, OHCA has closed coverage for COVID monoclonal antibody treatment Bebtelovimab, reported by codes Q0222 and M0222. From the menu at the top of the browser, select FILE - SAVE AS to navigate to the folder in which you wish to save the document. Kepro Employees Use this login button if you have a Kepro domain account. Outpatient Rehab- Occupational Therapy (OT) Initial, Outpatient Rehab- Physical Therapy (PT) Initial, Outpatient Rehab- Speech Therapy (ST) Initial, Urology Checklist for Cystoscopy-Cystourethroscopy, Urology Checklist for Prostratic RF Thermotx, Wound Care-Hyperbaric Oxygen Therapy (HO2), Computed Tomography (CT) Abdomen and Pelvis, Computed Tomography Angiogram (CTA) Coronaries, Magnetic Resonance Cholangiopancreatography (MRCP), Magnetic Resonance Imaging (MRI) Cervical Spine, Magnetic Resonance Imaging (MRI) Lumbar Spine, Magnetic Resonance Imaging (MRI) Pituitary, Magnetic Resonance Imaging (MRI) Shoulder, Magnetic Resonance Imaging (MRI) Thoracic Spine, Nuclear Stress Test-Thallium-Technetium-Sestamibi, Positron Emission Tomography (PET) Whole Body, Speciality Physician Visit for Pain Management. Are you sure you want to logout? Always log off and close all of your browser windows. Please check back later. please update to most recent version. do best - helping others. business operations that arise, so that you can focus on doing what you A non-contract provider, on his or her own behalf, is permitted to file a standard appeal for a denied claim only if the non-contract provider completes a waiver of liability statement, which provides that the non-contract provider will not bill the Medicare member regardless of the outcome of the appeal. Status updates will be provided for managed inquiries. Contracting with InterGroup Services allows you to assist your existing patients to save money while attracting new patients without placing stress to your bottom line. 1-888-775-7888 (Toll free) Medicare Fraud, Waste and Abuse and Compliance Training (PDF). What can you do in the RI Medicaid Health Care Portal. You will need to enter your Tax Identification Number (TIN), a member ID, and claim number. Are you sure you want to logout? If this is your first login with multi-factor authentication, click here to complete your registration. Healthcare providers and Billing Agents can. Always log off and close all of your browser windows. This site gives you the opportunity to maintain provider information, access claim and prior authorization related functions, and receive messages from the OHCA that apply specifically to you. Then save it. The website also contains reference materials such as the provider guide and a quick reference formulary wall chart for providers. Please take a moment to go over the provided information in the PDF file link below. If you do not recognize your site key token, do not type your password. Healthy Living Referral Process Provider Instructions, http://www.compression.ru/video/ls-codec/msu-sc-codec.exe, Referrals to specialty providers must be completed by the clients PCP, All visits to specialists must have a current prior authorization. XX: Patient has other coverage plan which may be primary payer, i.e. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. Navigate to the folder in which you wish to save the document. 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