Welcome Providers!

Last Updated: 3/31/2014 1:37:36 PM

Providers will find tools and resources needed to provide excellent care for Health Plan patients. Quickly and easily access pharmacy information, forms and documents, resources, and departments such as Disease Management, Quality Improvement and Provider Relations. Using the Secure Provider Website , you can check member eligibility, review claims, and check referrals and precertifications.

Find providers using our Provider Search or Tertiary Provider List. Search for NPI# using the National NPI Search . Also within this website, view pharmacy benefit information, newsletters, and The Health Plan Provider Manual. The manual gives an overview of The Health Plan and its structure so that you can more effectively function as a provider.

If you have questions or need help, call us in the Ohio Valley/Mountaineer Region at 1.800.624.6961, Monday through Friday from 8:30am to 5:00pm or 1.800.426.9013 in the HomeTown Region, Monday through Friday from 8:00am to 5:00pm. You can also email us.

Notifications - LATEST NEWS & UPDATES

Look under the Notifications link to find the latest news and updates for Providers including:

  • NEW - Provider Training Seminar - March 19, 2014
  • NEW - ICD-10 Readiness Information
  • NEW - New 1500 02/12 Claim Form
  • NEW - Discontinuing Paper Vouchers
  • Information on the Medicare D-SNP
  • Mountain Health Choice Program Concluding