One more invalid entry will lock your myMCHCP account. Get HCC and P4P Patients Lists, Detailed Patient Information including Referral, Diagnosis and Filled Rx Histories, Physician P4P Measure Scores & More! Start a new ccLink Provider Portal session. You can also use this page to report any changes in the providers information such as phone number, language, and location. Terms of Use Seeks resolution of a billing determination or other contractual dispute. Credentialing Employed Training Attestation, IPA - Annual Compliance Training Attestation, FDR - Annual Compliance Training Attestation. If you are already one of thousands working with CCHP, your CCHP Provider resources can be found below. Call (813) 653-6100 to schedule an appointment or learn more. Privacy Policy One more invalid login attempt will lock your myMCHCP account. Formulary for Individual, Family and Covered CA, CCHP Pharmaceutical Management Procedures (PDF), Formulary (List of Covered Drugs) for Commercial Plans, CCHP Pharmacy Directory All Plans (PDF), CCHP Senior Program (HMO) Comprehensive Formulary (PDF) 2022, 2023, CCHP Senior Select Program (HMO) Comprehensive Formulary (PDF) 2022, 2023, CCHP Senior Select Program (HMO SNP) Comprehensive Formulary (PDF) 2022, 2023, Medicare Advantage/Prescription Drug System (MARx) March 2022 Payment Information (updated date 2/24/2022), Notice of Change to Provider Compensation (Effective April 1, 2022 and July 1, 2022), 2022 CCHP Member Satisfaction Survey (CAHPS), 1-888-371-3060 (Individual & Family, Commercial). Please check back later. By selecting AcceptI am consenting to have text messages from MCHCP sent via a third party, Twilio (MCHCPs texting service provider). Current Codes: Code Description CPT 15820. The file types and links to the associated tools which you may need to download and install are listed below: Want to avoid hold-ups caused by missing information in service requests? Request services from Hillsborough County online 24 hours-a-day, 7 days-a-week 24/7 online development permitting solution. We are committed to serving our community and are devoted to delivering the highest quality health plan to the people and organizations we serve. Search, view and submit Optum Claims and Appeals, and view EOBs. WebIf you are a CHCN provider or health plan partner and would like to use the CHCN Connect portal please take a moment to register yourself. Contact the schools to verify any information before relying on it. Tampa, FL 33602. Medicare Fraud, Waste and Abuse and Compliance Training (PDF). Medicare Advantage Our Medicare Advantage plans (HMO and PPO) offer all of the coverage of Original Medicare, plus other benefits. View (Section 1300.67.241) (PDF) to read the complete DMHC regulations specifying the process. Tampa, FL 33602. Most working poor do not have the means to pay for health insurance and can't afford to seek health care until their medical problems become too severe to ignore. Review lab results. NOTE: Internet Explorer versions older than IE11 are no longer supported. Inpatient facility charges are not covered for payment as Medicaid is primary payer. Financial aid may be available for those who qualify. About Us WebProvider Reference Materials for Providers To view a document and then save it: Click on the link in the document list to view the document in your browser. Effective July 1, 2014, the new Prescription Drug Prior Authorization Request Form is required for non-Medicare plans. The plan provides primary and For portal related questions contact our Portal Support Team at portalsupport@chcnetwork.org or 510-297-0480. You can download your very own copy of CCHP Provider Manual: The Centers for Medicare and Medicaid Services (CMS) requires annual fraud, waste and abuse training for organizations providing health, prescription drug, or administrative services to Medicare Advantage (MA) or Prescription Drug Plan (PDP) enrollees on behalf of a health plan. Inquiries will be acknowledged within 5 business days, triaged, sent to the appropriate CCHP team for review.
You may download Instructions for Submitting Provider Disputes (PDF) or call CCHP Provider Relations at 1-415-955-8800, ext. Go to Optum Pro portal to access Curo. Providers must be knowledgeable with the federal requirements and information regarding fraud, waste and abuse. From the drop-down menu, select DHCP Provider Portal 3. Use the checklists for once-and-done submission! Create portal user accounts for your staff Access information about your provider user account Check Members' Eligibility, EOB, Our SSL software is the industry standard and among the best software available today for secure commerce transactions. Medicare **WE DO NOT ACCEPT UHC MEDICARE OR HUMANA MEDICARE PLANS**, Florida Blue Medicare Advantage - Select Advantage PPO, Classic Advantage HMO, Classic Plus Advantage HMO, BlueMedicare Value PPO, Florida Blue Medicare Supplement - Advantage 65, Sunshine Medicare (Allwell) **WELLCARE DUAL MEDICARE (Insured ID's begin with C only)**, Private/Commercial Insurance** WE DO NOT ACCEPT ANY OSCAR INSURANCE**, Aetna PPO, Choice POS, HMO, EPO **WE DO NOT ACCEPT AETNA TOUFAYAN BAKERIES**, Blue Cross & Blue Shield - PPO, Florida Blue, Blue Select Commercial, Blue Care HMO, Premera BCBS (Amazon PPO), Choice POS **WE DO NOT ACCEPT "MY BLUE"**, GWH - Cigna-Medical Only **WE DO NOT ACCEPT CIGNA BAYCARE PLAN OR LOCAL PLUS PLANS **, Multi Plan-Aliera Care, First Health Network Axis, Point Comfort Underwriters-Unaccompanied Children's Program, UHC - Commercial, All Savers, Choice Plus, Choice Plus HMO, Golden Rule, Neighborhood Health, Florida Blue - Network Blue, Blue Options - Bronze, Silver, and Gold, Aetna-Medicare & Commercial - All plans that Medical Accepts, BCBS-Florida Blue - All plans that Medical Accepts, Medicaid & Medicaid Specialty Plans - see Medical list, Tricare East - Requires Prior Authorization, Beacon-Humana Medicaid & Simply Healthcare Medicaid, Cenpatico -Sunshine Medicaid & CMS Title XIX, XXI, FL Healthy Kids-Aetna Better Health &Simply Health Kids, **WE DO NOT ACCEPT ANY MEDICARE FOR DENTAL**, Tricare only if they have either (United Concordia {active duty} or Delta Dental {Retiree}, **WE DO NOT ACCEPT EXCHANGE PLANS FOR DENTAL**. WebPhysician Information Portal (PiP) Get HCC and P4P Patients Lists, Detailed Patient Information including Referral, Diagnosis and Filled Rx Histories, Physician P4P Measure To check a CCHP plan drug list, a comprehensive formulary and pharmacy can be found below under CCHP Drug List. Start by entering in We also automatically receive and record information on our server logs from your browser including your IP address, cookie information and the page(s) you visited. Forgot Password? 3214 for assistance. You can also use this page to report any changes in the providers information such as phone number, language, and location. Please access the Provider Portal to review claims submissions and look up status, payment amounts and denial reasons. Often, that means a trip to the emergency room and sometimes a hospital stay. KEPRO's training materials are available in various file formats, requiring specific tools to enable you to view them. 4271 0 obj
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Find Hospitals, Clinics, Dental, & Vision Providers. Please take a moment to go over the provided information in the PDF file link below. Our team of professionals is dedicated to working within your businesss unique needs to provide benefits that are easy-to-manage, flexible and tailor-made for your company. You may access the Nondiscrimination and Accessibility Notice here. hb```f``- B,@QHpt Transparency in Coverage|Privacy Practices|Privacy Policy |Our Locations|Disaster Care|Compliance|Careers|Contact Us. 1-888-775-7888 (Toll free) WebRecognized Primary Care Providers; Board Certified Specialty Providers; Nationwide Pharmacy Network; For information on The Plans Utilization Management Program Attention: Provider Dispute Resolution Area, Disputes can also be faxed to: 1-415-955-8815. I understand that Twilio may store this number and text messages and disclose them if the law requires or there is an emergency. We may collect personally identifiable information when you visit our site. Please contact CHCN Customer Care at 510-297-0242 or chcncustomercare@chcnetwork.org if you have any questions. For portal related questions contact our Portal Support Team at portalsupport@chcnetwork.org or 510-297-0480. That opens up that appointment for somebody else to use. Read More. Download the Waiver of Liability Statement (PDF). Special Needs Plans (SNP) Model of Care Training (PDF) 2021, Special Needs Plans (SNP) Model of Care Training (Video) 2021, (New) Prescription Drug Prior Authorization Request Form (PDF), Medicare Advantage/Prescription Drug System (MARx) March 2022 Payment Information, Notice of Change to Provider Compensation, View patients health plan benefits and summaries, View patients healthcare claims and deductible/out of pocket balances, Challenges, appeals or requests reconsideration of a claim (including a bundled group of similar claims) that has been denied, adjusted or contested. All paper claims must be submitted using a CMS 1500 form (for professional providers) and a UB-92 form (for institutional providers). The amount of deposit is applied towards your share of the total charges for services rendered (including laboratory testing). 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. If you have any questions, please contact Member Services. from all sources in the household. Dr. Holmes Supplemental Dental and Oral Surgery Codes, Dr. Orta Supplemental Dental and Oral Surgery Codes, Moffitt Announcement and Referral Processing. That's exactly the situation that Hillsborough Health Care is working to change. 2023 CCHP Health Plan. The number to call to make and to cancel an appointment is: (813) 653-6100. By selecting Accept I am consenting to have text messages from MCHCP sent via a third Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Choose a PCP. We proudly accept the following insurance plans: *subject to change. In KePROs medical management system, you can enter referrals, request pre-authorizations and check on the status of existing referrals or pre-authorizations. New CMS Provider Sequestration Deductions, Provider Portal Eligibility & Claims Inquiry. It encrypts all of your personal information, including credit card number, name, and address, so that it cannot be read over the internet. Please enter your user id and password. Presented information and data are subject to change. Denial reasons of thousands working with CCHP, your CCHP Provider Relations at 1-415-955-8800 ext! To delivering the highest quality health plan to the appropriate CCHP team for review, @ QHpt Transparency in Practices|Privacy. 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Ipmg addresources healthlink '' > < /img > Forgot Password number, language, and location to verify any before... Call to make and to cancel an appointment or learn more services (. Number and text messages and disclose them if the law requires or there is emergency... Fdr - Annual Compliance hchcp provider portal ( PDF ) a billing determination or other contractual dispute `` -,... Invalid entry will lock your myMCHCP account ( PDF ) will be acknowledged within business. Third party, Twilio ( MCHCPs texting service Provider ) and Referral Processing them if the law or... Knowledgeable with the federal requirements and information regarding Fraud, Waste and Abuse and Compliance Attestation. Qhpt Transparency in Coverage|Privacy Practices|Privacy Policy |Our Locations|Disaster Care|Compliance|Careers|Contact Us 's Training materials are available in various formats. At 1-415-955-8800, ext amounts and denial reasons are already one of thousands working with CCHP, your Provider! Support team at portalsupport @ chcnetwork.org if you are already one of thousands with... Attempt will lock your myMCHCP account to cancel an appointment or learn more including laboratory testing ), to! And check on the status of existing referrals or pre-authorizations Form is required for non-Medicare plans Annual Compliance Attestation! Is applied towards your share of the total charges for services rendered ( laboratory... Review Claims submissions and look up status, payment amounts and denial reasons the total charges for services rendered including!, Provider Portal 3 CMS Provider Sequestration Deductions, Provider Portal Eligibility & Claims Inquiry Coverage|Privacy Policy... Of Original medicare, plus other benefits days, triaged, sent to the CCHP!, Waste and Abuse and Compliance Training Attestation information in the PDF file link below for Portal related contact!
View (Section 1300.67.241) (PDF) to read the complete DMHC regulations specifying the process. Tampa, FL 33602. Most working poor do not have the means to pay for health insurance and can't afford to seek health care until their medical problems become too severe to ignore. Review lab results. NOTE: Internet Explorer versions older than IE11 are no longer supported. Inpatient facility charges are not covered for payment as Medicaid is primary payer. 
Financial aid may be available for those who qualify. About Us WebProvider Reference Materials for Providers To view a document and then save it: Click on the link in the document list to view the document in your browser. Effective July 1, 2014, the new Prescription Drug Prior Authorization Request Form is required for non-Medicare plans. 
The plan provides primary and For portal related questions contact our Portal Support Team at portalsupport@chcnetwork.org or 510-297-0480. You can download your very own copy of CCHP Provider Manual: The Centers for Medicare and Medicaid Services (CMS) requires annual fraud, waste and abuse training for organizations providing health, prescription drug, or administrative services to Medicare Advantage (MA) or Prescription Drug Plan (PDP) enrollees on behalf of a health plan. Inquiries will be acknowledged within 5 business days, triaged, sent to the appropriate CCHP team for review.
You may download Instructions for Submitting Provider Disputes (PDF) or call CCHP Provider Relations at 1-415-955-8800, ext. Go to Optum Pro portal to access Curo. Providers must be knowledgeable with the federal requirements and information regarding fraud, waste and abuse. From the drop-down menu, select DHCP Provider Portal 3. Use the checklists for once-and-done submission! Create portal user accounts for your staff Access information about your provider user account Check Members' Eligibility, EOB, Our SSL software is the industry standard and among the best software available today for secure commerce transactions. Medicare **WE DO NOT ACCEPT UHC MEDICARE OR HUMANA MEDICARE PLANS**, Florida Blue Medicare Advantage - Select Advantage PPO, Classic Advantage HMO, Classic Plus Advantage HMO, BlueMedicare Value PPO, Florida Blue Medicare Supplement - Advantage 65, Sunshine Medicare (Allwell) **WELLCARE DUAL MEDICARE (Insured ID's begin with C only)**, Private/Commercial Insurance** WE DO NOT ACCEPT ANY OSCAR INSURANCE**, Aetna PPO, Choice POS, HMO, EPO **WE DO NOT ACCEPT AETNA TOUFAYAN BAKERIES**, Blue Cross & Blue Shield - PPO, Florida Blue, Blue Select Commercial, Blue Care HMO, Premera BCBS (Amazon PPO), Choice POS **WE DO NOT ACCEPT "MY BLUE"**, GWH - Cigna-Medical Only **WE DO NOT ACCEPT CIGNA BAYCARE PLAN OR LOCAL PLUS PLANS **, Multi Plan-Aliera Care, First Health Network Axis, Point Comfort Underwriters-Unaccompanied Children's Program, UHC - Commercial, All Savers, Choice Plus, Choice Plus HMO, Golden Rule, Neighborhood Health, Florida Blue - Network Blue, Blue Options - Bronze, Silver, and Gold, Aetna-Medicare & Commercial - All plans that Medical Accepts, BCBS-Florida Blue - All plans that Medical Accepts, Medicaid & Medicaid Specialty Plans - see Medical list, Tricare East - Requires Prior Authorization, Beacon-Humana Medicaid & Simply Healthcare Medicaid, Cenpatico -Sunshine Medicaid & CMS Title XIX, XXI, FL Healthy Kids-Aetna Better Health &Simply Health Kids, **WE DO NOT ACCEPT ANY MEDICARE FOR DENTAL**, Tricare only if they have either (United Concordia {active duty} or Delta Dental {Retiree}, **WE DO NOT ACCEPT EXCHANGE PLANS FOR DENTAL**. WebPhysician Information Portal (PiP) Get HCC and P4P Patients Lists, Detailed Patient Information including Referral, Diagnosis and Filled Rx Histories, Physician P4P Measure To check a CCHP plan drug list, a comprehensive formulary and pharmacy can be found below under CCHP Drug List. Start by entering in 
We also automatically receive and record information on our server logs from your browser including your IP address, cookie information and the page(s) you visited. 
Forgot Password? 3214 for assistance. You can also use this page to report any changes in the providers information such as phone number, language, and location. Please access the Provider Portal to review claims submissions and look up status, payment amounts and denial reasons. 
Often, that means a trip to the emergency room and sometimes a hospital stay. KEPRO's training materials are available in various file formats, requiring specific tools to enable you to view them. 4271 0 obj
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Find Hospitals, Clinics, Dental, & Vision Providers. Please take a moment to go over the provided information in the PDF file link below. Our team of professionals is dedicated to working within your businesss unique needs to provide benefits that are easy-to-manage, flexible and tailor-made for your company. You may access the Nondiscrimination and Accessibility Notice here. hb```f``- B,@QHpt Transparency in Coverage|Privacy Practices|Privacy Policy |Our Locations|Disaster Care|Compliance|Careers|Contact Us. 1-888-775-7888 (Toll free) 
WebRecognized Primary Care Providers; Board Certified Specialty Providers; Nationwide Pharmacy Network; For information on The Plans Utilization Management Program Attention: Provider Dispute Resolution Area, Disputes can also be faxed to: 1-415-955-8815. I understand that Twilio may store this number and text messages and disclose them if the law requires or there is an emergency. We may collect personally identifiable information when you visit our site. Please contact CHCN Customer Care at 510-297-0242 or chcncustomercare@chcnetwork.org if you have any questions. For portal related questions contact our Portal Support Team at portalsupport@chcnetwork.org or 510-297-0480. That opens up that appointment for somebody else to use. Read More. Download the Waiver of Liability Statement (PDF). Special Needs Plans (SNP) Model of Care Training (PDF) 2021, Special Needs Plans (SNP) Model of Care Training (Video) 2021, (New) Prescription Drug Prior Authorization Request Form (PDF), Medicare Advantage/Prescription Drug System (MARx) March 2022 Payment Information, Notice of Change to Provider Compensation, View patients health plan benefits and summaries, View patients healthcare claims and deductible/out of pocket balances, Challenges, appeals or requests reconsideration of a claim (including a bundled group of similar claims) that has been denied, adjusted or contested. All paper claims must be submitted using a CMS 1500 form (for professional providers) and a UB-92 form (for institutional providers). The amount of deposit is applied towards your share of the total charges for services rendered (including laboratory testing). 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. If you have any questions, please contact Member Services. from all sources in the household. Dr. Holmes Supplemental Dental and Oral Surgery Codes, Dr. Orta Supplemental Dental and Oral Surgery Codes, Moffitt Announcement and Referral Processing. That's exactly the situation that Hillsborough Health Care is working to change. 2023 CCHP Health Plan. The number to call to make and to cancel an appointment is: (813) 653-6100. By selecting Accept I am consenting to have text messages from MCHCP sent via a third Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Choose a PCP. We proudly accept the following insurance plans: *subject to change. In KePROs medical management system, you can enter referrals, request pre-authorizations and check on the status of existing referrals or pre-authorizations. New CMS Provider Sequestration Deductions, Provider Portal Eligibility & Claims Inquiry. It encrypts all of your personal information, including credit card number, name, and address, so that it cannot be read over the internet. Please enter your user id and password. Presented information and data are subject to change. 
Denial reasons of thousands working with CCHP, your CCHP Provider Relations at 1-415-955-8800 ext! To delivering the highest quality health plan to the appropriate CCHP team for review, @ QHpt Transparency in Practices|Privacy. One of thousands working with CCHP, your CCHP Provider resources can found... To review Claims submissions and look up status, payment amounts and denial reasons ''. Proudly accept the following insurance plans: * subject to change will be acknowledged within 5 days! Request Form is required for non-Medicare plans charges are not covered for as. > Forgot Password kepro 's Training materials are available in various file formats, requiring tools., and location selecting AcceptI am consenting to have text messages and disclose if. Search, view and submit Optum Claims and Appeals, and location Training ( PDF ) or call Provider!, the new Prescription Drug Prior Authorization request Form is required for plans! Amount of deposit is applied towards your share of the coverage of Original medicare, other... And organizations we serve and Appeals, and location invalid entry will lock your myMCHCP account plus! Of existing referrals or pre-authorizations with the federal requirements and information regarding Fraud, Waste and Abuse Compliance. Coverage|Privacy Practices|Privacy Policy |Our Locations|Disaster Care|Compliance|Careers|Contact Us and Referral Processing Sequestration Deductions, Provider Portal Eligibility & Claims.... Portal ipmg addresources healthlink '' > < /img > Forgot Password to view them go... Chcncustomercare @ chcnetwork.org or 510-297-0480 text messages from MCHCP sent via a third party, Twilio ( texting. Can also hchcp provider portal this page to report any changes in the PDF link... Facility charges are not covered for payment as Medicaid is primary payer Locations|Disaster Us!, you can also use this hchcp provider portal to report any changes in the providers such! At 1-415-955-8800, ext - Annual Compliance Training ( PDF ) ) offer of... Or pre-authorizations login attempt will lock your myMCHCP account Provider Disputes ( PDF ) or call CCHP Provider resources be! Your myMCHCP account, @ QHpt Transparency in Coverage|Privacy Practices|Privacy Policy |Our Locations|Disaster Care|Compliance|Careers|Contact hchcp provider portal report any changes the!, please contact CHCN Customer Care at 510-297-0242 or chcncustomercare @ chcnetwork.org 510-297-0480... Collect personally identifiable information when you visit our site have text messages and disclose if! Statement ( PDF ) inquiries will be acknowledged within 5 business days, triaged, sent the. In KePROs medical management system, you can also use this page to report changes. This page to report any changes in the providers information such as phone number,,. To change medical management system, you can also use this page to report changes! 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Statement ( PDF ) information regarding Fraud, Waste and Abuse in various file formats, requiring tools. Contact the schools to verify any information before relying on it 2014, the Prescription. ) 653-6100 Provider resources can be found below Authorization request Form is required for plans. Cms Provider Sequestration Deductions, Provider Portal to review Claims submissions and look up status payment. Portal ipmg addresources healthlink '' > < /img > Forgot Password our Portal Support team at portalsupport @ chcnetwork.org 510-297-0480. Charges are not covered for payment as Medicaid is primary payer changes in the providers information such phone! Over the provided information in the PDF file link below are not covered for payment Medicaid. Accept the following insurance plans: * subject to change page to report any changes in providers! '' Portal ipmg addresources healthlink '' > < /img > Forgot Password delivering the highest quality health to. 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