>> Find the specific content you are looking for from our extensive Provider Manual. /Contents 32 0 R endobj /Font << /Parent 2 0 R Log In Register All Other Plans /Tabs /S /F16 28 0 R /ExtGState << /Type /Catalog /F16 28 0 R /BitsPerComponent 8 /StructParents 3 Visit our Member Website and Secure Portals. endobj Looking for the fastest way to check patient benefits, submit a claim, or an electronic prior authorization? /X31 37 0 R /MediaBox [0.0 7.9200063 612.0 799.92] /BleedBox [0.0 7.9200063 612.0 799.92] /XObject << Send your inquiry to the address below and we will respond to you as soon as possible. /G4 18 0 R 2022 PitchBook. Getting started. /G3 17 0 R /Lang (en) endobj Neoanalytics Laboratory portal uses cookies to ensure you receive the best possible experience Learn more /Length 23143 /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] {'}P&e1 W^btV>KMbt[Ekm2"8!|l$ X&If5.,_8hcZe{F.]# /MediaBox [0.0 7.9200063 612.0 799.92] /ParentTreeNextKey 8 /Creator (Canva) /F17 29 0 R provided by Catilize Health, you will be required to include the following documentation: for copay, co- -insurance or deductible, you will need to submit the /Font << /S /Document Level 1 - Validated for Savings February 2021. /F42 44 0 R Technical assistance is available, if required, by calling 1300 478 439. /Font << /G4 18 0 R 9 0 obj Call:952-896-9102. Visit our site to learn about the best ways to use ProviderPortal, . >> . Provider Manual. endobj 73 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R 81 0 R endobj Manage your secure informationwith confidence. With secure, convenient access to the EmblemHealth provider portal, you can: View status of pending bills and claims. /Type /XObject /F7 21 0 R Keep your profile up to date. 6 [163 0 R 164 0 R 165 0 R 166 0 R 167 0 R 168 0 R 168 0 R 168 0 R 168 0 R 168 0 R /F7 21 0 R Catilize Health. 11 0 obj Health plans and health care providers can save time and money with HealthEZ. /F16 28 0 R /F8 22 0 R See what you need to know for 2022, what you may have missed in 2021, including regulatory requirements, attestations, and training needed for continued participation. A fast, easy way to access AIM Specialty Health. Portal. /ExtGState << 112 0 R 112 0 R 112 0 R 112 0 R 112 0 R 112 0 R 113 0 R 113 0 R 113 0 R 113 0 R /F7 21 0 R Provider Home; Provider Portals; Reference Tools; Prescription Drug Information . /MarkInfo << 142 0 R 143 0 R 144 0 R 145 0 R 146 0 R 147 0 R 148 0 R 149 0 R 150 0 R 151 0 R endobj /G4 18 0 R Interested in exploring opportunities? Use the ProviderPortal SM to accelerate your advanced imaging requests and get a response in real time 24/7. PitchBooks non-financial metrics help you gauge a companys traction and growth using web presence and social reach. >> >> 'sFd$((`" /X32 38 0 R /G4 18 0 R /Resources << We make billing easy so you can focus on patients, not paperwork. Member Portal Login; Change Plans; Find a Doctor or Pharmacy; Prescription Drug Information; Documents and Forms; Case Management Program; Appeals and Grievances; Out-of-Network Coverage; Report Fraud, Waste, and Abuse; Member Rights and Responsibilities; Providers. /XObject << /G4 18 0 R Sign In Reminder: In order to create a new account see below Account Creation Guide. /Type /Page This page was last modified: 04/27/2022 05:41:10 AM H2962_UHPWeb_M. 168 0 R 169 0 R 170 0 R] The MERP is the technical name for the plan we provide. LHI Provider Portal collaborates with the Department of Defense, the Department of Health and Human Services, the Department of Veterans Affairs, and other organizations in order to modernize the wellness architecture of the United States and improve the well-being and prosperity of the population of the United States. << >> /Type /StructTreeRoot It's available 24/7 - and at no cost to you. /Width 332 Enrollment in Ultimate Health Plans depends on contract renewal. << Employers and employees benefit because SIHRA reduces financial inequity, dramatically lowers risk, and measurably increases the bottom-line. >> Cal MediConnect (Medicare-Medicaid Plan) - Nonparticipating Providers - Participating Providers Log In IFP and Individual Medicare Advantage Log in to provider.healthnetcalifornia.com to view information related to IFP and individual Medicare Advantage members. /XObject << endobj /Font << /Font << /F8 22 0 R Catilize Health helps organizations foster a more inclusive culture that embraces the unique nature of everyone's financial circumstances. 5 0 obj /F6 20 0 R >> 2022 Ultimate Health Plans. >> << >> Win whats next. 2605 Nicholson Rd. /ExtGState << We help your office speed up the patient revenue cycle by helping you reconcile claims . /Tabs /S /Contents 30 0 R << endobj >> RadMD.com. endobj /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] >> >> HEDIS Portal, Note: If you are in need of portal access for Authorizations/Eligibility or HEDIS, please reach out to your assigned representative for assistance. Financial impact Financial impact affects all aspects of the organization that matter most. << 113 0 R 113 0 R 114 0 R 115 0 R 116 0 R 117 0 R 118 0 R 119 0 R] /X5 19 0 R >> Catilize.com.This domain provided by godaddy.com at 2019-03-25T18:18:40Z (3 Years, 131 Days ago), expired at 2024-03-25T18:18:40Z (1 Year, 234 Days left). 151 0 R 151 0 R 151 0 R 151 0 R 152 0 R 153 0 R 154 0 R 155 0 R 156 0 R 157 0 R /Annots [49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R 55 0 R 56 0 R] /BleedBox [0.0 7.9200063 612.0 799.92] Pick one of the choices /BleedBox [0.0 7.9200063 612.0 799.92] How to Register ELECTRONIC SERVICES /LJ 0 >> /Parent 2 0 R /F15 27 0 R /F7 21 0 R /Resources << /F17 29 0 R /Annots [34 0 R] /TrimBox [0.0 7.9200063 612.0 799.92] 6 0 obj /X26 33 0 R Find resources, documents, and additional support to provide the best patient care. /BleedBox [0.0 7.9200063 612.0 799.92] /Type /Page If you are experiencing technical difficulties with the provider portal, please call our Provider Portal Coordinator at 480-760-4651. It is not medical advice and should not be substituted for regular consultation with your health care provider. Forms, drug information, plan information education and training. 15 0 obj 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 89 0 R 90 0 R 91 0 R] The company's services use turnkey engagement that reduces financial inequity, dramatically lowers risk, and measurably increases the bottom line while providing massive ongoing savings for both employers and . >> << Let the provider know that the will pay the provider directlyMERP for any copays, - deductibles and co-insurance for eligible charges. Provider Connections is our news blog for prior authorization staff. /Keywords (DAEXi_yB2lk,BACna5QOyUU) /Resources << /X11 24 0 R /TrimBox [0.0 7.9200063 612.0 799.92] /G3 17 0 R (Suite 1140) Sewickley, PA 15143 2020 EmblemHealth. >> >> Sign in for full access. MERP@CatilizeHealth.com Surprisingly Different Better quality, lower cost healthcare options Start Here /G4 18 0 R Contact - Catilize Health Let's Talk Catilize Results Better outcomes start here How can we help? /StructParents 1 << Do you wish to continue? We will walk you through the registration process. >> >> The Bridge Program gives members access to a combination of our existing EmblemHealth Insurance Company's Prime Network, EmblemHealth Plan, Inc.'s National Network, ConnectiCare, Inc.'s Choice Network, as well as QualCares and FirstHealths networks. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage. /Lang (en) CATILIZE HEALTH OVERVIEW OVERVIEW Catilize Health is the standalone professional benefit administrator of the Medical Expense Reimbursement Plan aka SIHRA or Spousal MERP. endobj You are on primary menu. Oscar's Provider portal is a useful tool that I refer to often. /MediaBox [0.0 7.9200063 612.0 799.92] 1 0 obj /StructParents 0 To access the portal, you will need to create or sign in using a One Healthcare ID. Use the secure form below. Looking for Magellan Health Provider resources? << /TrimBox [0.0 7.9200063 612.0 799.92] 17 0 obj 4 0 obj /MediaBox [0.0 7.9200063 612.0 799.92] /X11 24 0 R /Author (bmkelly01) /Tabs /S /Contents 35 0 R /P 3 0 R 4 [120 0 R 121 0 R 122 0 R 123 0 R 124 0 R 125 0 R 126 0 R 127 0 R 128 0 R 129 0 R /TrimBox [0.0 7.9200063 612.0 799.92] /Resources << /XObject << >> 14 0 obj >> /F44 46 0 R Reduced liability Measurably and consistently reduce the size and frequency of claims. /ExtGState << /BM /Normal >> /Subtype /Image >> . /X13 25 0 R Toll Free 1 (877) 872-4232 Help Desk Info@CatilizeHealth.com Fax Number 1 (877) 599-3724 Main Office 2605 Nicholson Rd. /F16 28 0 R ConnectiCare, based in Connecticut, is a subsidiary of EmblemHealth. The MERP is unique in that it requires that you and your dependents be enrolled in your spouse's employer-sponsored medical plan as well. To log in to the HPP, you must have first completed an online registration 179 0 R 179 0 R 179 0 R 180 0 R 181 0 R 181 0 R 181 0 R 181 0 R 181 0 R 181 0 R /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] Looking to become a Magellan Health Provider? %PDF-1.4 /Parent 2 0 R 1 (877) 872-4232 info@catilizehealth.com 2605 Nicholson Rd. /SA true The MERP plan works by allowing eligible participants and dependents the freedom to enroll in a spouse's employer-sponsored medical plan - and we make it easy. /Type /Page >> >> For most members, claims can be mailed or submitted electronically to us at the address or payer ID's below; however, the address and payer ID's may vary based on member-specific plans and networks. /Tabs /S 24/7 Nurse Advice Line . 18 0 obj Visit our job search tool to find and apply to a position. All rights reserved. In a busy practice like yours, you need to deliver quality, appropriate care efficiently to your patients. /ViewerPreferences 4 0 R >> /X13 25 0 R % /LC 1 Please note the Provider Portal site is best viewed using Google Chrome or Microsoft Edge. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. /G4 18 0 R below for more information, Notice About Nondiscrimination and Accessibility. 1 [68 0 R 69 0 R 70 0 R 71 0 R 71 0 R 71 0 R 71 0 R 72 0 R 73 0 R 73 0 R /Type /Page /ca 1 Magellan Rx Providers, view payer sheets, provider manuals, file MAC Appeals, submit prior authorizations and find information about EFT or ERA. >> /ParentTree 15 0 R /Font << >> /Type /Page /Type /Pages Join us in providing better care, better value, and better outcomes for patients throughout the tristate area. And it's easy to use whether you have 10 patients or 10,000. /LW 1 /F17 29 0 R With secure, convenient access to the EmblemHealth provider portal, you can: As a leader in value-based care, we believe health care is about quality, not quantity. tI=e K09"NSSQ ~QI$%%_~/\dSMO|? Access clinical information, quick reference guides, forms, documents, and more. 100002 197 0 R 100003 198 0 R 100004 199 0 R 100005 200 0 R 100006 201 0 R /Tabs /S 158 0 R 159 0 R 160 0 R 161 0 R 162 0 R] >> /G3 17 0 R Typically, you pay nothing out-of- . /F7 21 0 R 100000 195 0 R 100001 196 0 R /X13 25 0 R /TrimBox [0.0 7.9200063 612.0 799.92] /ModDate (D:20220106143836+00'00') >> The first step is to answer any questions you have, reviewing how the NetZero Health Plan will benefit your employees, their spouses and their children's medical coverage needs as well as your company's annual healthcare budget. << Ultimate Health Plans is an HMO with a Medicare contract and is contracted with the Florida State Medicaid program for Dual Special Needs Plans. Benny DiCecca . Your employer may call it something different though, but rest assured it's the same plan Catilize has administered for nearly two decades. 99 0 R 100 0 R 101 0 R 102 0 R 102 0 R 103 0 R 104 0 R 105 0 R] COVID-19: Click here to learn about COVID-19 and what Ultimate is doing to help you through the pandemic. Ultimate Health Plans does not collect any member information through this website. Looking for member information about your program or where to log in to your Magellan member account? << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /Type /Page Magellan Specialty and Radiology Providers. 19 0 obj /F16 28 0 R ProviderPortal. /StructParents 7 >> endobj /Filter /FlateDecode endobj /Type /Page /Nums [0 [59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R] E-mail:providerrelations@healthez.com. /Marked true 8 0 obj Through ConnectiCares website, you will have access to ConnectiCares: See how EmblemHealth and its companies are addressing social issues that affect medical outcomes. 189 0 R 190 0 R 191 0 R 192 0 R 193 0 R 194 0 R] Spousal Incentive Health Reimbursement Accounts (SIHRAs) can significantly reduce a company's. health benefit spend and reduce the employee share, by shifting the health benefit to a spouse's employer. /Kids [204 0 R] /Font << >> Bright HealthCare uses Availity.com as a Provider Portal to connect with your practice in a protected and streamlined way. << >> >> /F15 27 0 R 7 [171 0 R 172 0 R 173 0 R 174 0 R 175 0 R 176 0 R 176 0 R 177 0 R 178 0 R 179 0 R /Resources << The Oscar Provider portal is a one-stop, self-service shop that makes managing claims, payments, and patient information fast and simple. 7 0 obj /X30 36 0 R /X18 26 0 R /Type /ParentTree >> All without having . /StructParents 6 /StructParents 4 /ColorSpace /DeviceRGB Provider of health benefit administration services intended to convert healthcare liability into enterprise growing value. endobj /Tabs /S /BleedBox [0.0 7.9200063 612.0 799.92] Out-of-state providers. (Suite 1140) Sewickley, PA 15143 Solutions Company If you do not know your assigned representative, please reach out to Provider_Relations@ulthp.com for additional assistance. /F41 43 0 R /K 14 0 R /StructParents 5 >> /BleedBox [0.0 7.9200063 612.0 799.92] Use the form below to contact Magellan Health for assistance. /Count 8 /XObject << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] << New to the Portal? >> 5 [132 0 R 133 0 R 134 0 R 135 0 R 136 0 R 137 0 R 138 0 R 139 0 R 140 0 R 141 0 R /G4 18 0 R /Producer (Canva) /Font << Connect with us about any general, media or sales inquiries. /Tabs /S Provider. << Site is running on IP address 192.124.249.104, host name cloudproxy10104.sucuri.net ( United States) ping response time 12ms Good ping.Current Global rank is 1,706,766, site estimated value 1,260$ Set up your online access. >> /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] QqYJoh9Y)Xmgu88g.geS3Ipvd\`%Sc[.hC\X,~=. (Suite 1140) Sewickley, PA 15143. /F46 48 0 R /XObject << Join our networks. /G3 17 0 R 2 0 obj /X11 24 0 R << /Tabs /S /ExtGState << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] 10 0 obj 3 [106 0 R 107 0 R 108 0 R 109 0 R 110 0 R 110 0 R 111 0 R 111 0 R 111 0 R 111 0 R Founder, President and Chief Executive Officer, To view Catilize Healths complete valuation and funding history, request access, To view Catilize Healths complete executive team members history, request access. /IDTree 16 0 R 12 0 obj About - Catilize Health Founder Story The best innovations are born from necessity A necessary change to help employers and employees to Catilize Health By Kevin O'Kane Some history of US health insurance Insurance companies all used to participate in Health Insurance Association America (HIAA). /Resources << Have questions about enrollment, claims, or details with your plan? /TrimBox [0.0 7.9200063 612.0 799.92] /Title (Catilize - Final) Claims/Eligibility, QAPrima: /G3 17 0 R This link will open in a new window. /Contents 40 0 R >> Obtain on-line authorization requests, view specific health plan clinical guidelines and provider education documents, and request a user ID on RadMD.com. /Parent 2 0 R Any information provided on this Website is for informational purposes only. /X13 25 0 R << Use the links below to find information, check member eligibility, submit and check claims view guidelines and more. 13 0 obj Find our Quality Improvement programs and resources here. Catilize Health does the rest. /BM /Normal << >> /ExtGState << Resources to help you provide quality care to patients with Priority Health benefits. /BleedBox [0.0 7.9200063 612.0 799.92] /F17 29 0 R >> 2605 Nicholson Rd Ste 1140, Sewickley, Pennsylvania, 15143, United States (877) 872-4232 Catilize Health Profile and History At J&K, our mission is to assist employers, including small-to-large sized corporations, government agencies, and municipalities in making the most efficient use of their health care benefit dollars. /F17 29 0 R >> /F43 45 0 R Health Plans, Inc. PO Box 5199 Westborough, MA 01581 The Provider Portal application will be unavailable Sundays between 12:30 PM CST - 6:00 PM CST for regularly scheduled maintenance. /XObject << Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year. >> Medicaid, HARP, and CHPlus (State-Sponsored Programs), Our Companies, Lines of Business, Networks, and Benefit Plans (PDF), Cultural Competency Continuing Education and Resources, Medicaid Cultural Competency Certification, Find a center near you, view classes and events, and more, EmblemHealth Neighborhood Care Physician Referral Form (PDF), Vendor-Managed Utilization Management Programs, Physical and Occupational Therapy Program, Radiology-Related Programs and Privileging Rules for Non-Radiologists, New Century Health Medical Oncology Policies, UM and Medical Management Pharmacy Services, COVID-19 Updates and Key Information You Need to Know, EmblemHealth Guide for Electronic Claims Submissions, Payment processes unique to our health plans, EmblemHealth Guide for NPIs and Taxonomy Codes, 2022 Provider Networks and Member Benefit Plans, EmblemHealth Spine Surgery and Pain Management Therapies Program, Outpatient Diagnostic Imaging Privileging, Benefits to Participation in Dental Network, Manage your secure informationwith confidence. Create a prism account to begin the credentialing process to join Priority Health networks. Explore our provider network and find tools to make your practice more efficient. >> /Contents 31 0 R Cohere Health is transforming utilization management and prior authorization from an inefficient burden into a strategic asset. /X11 24 0 R If you have any concerns about your health, please contact your health care provider's office. Obtain on-line authorization requests, view specific health plan clinical guidelines and provider education documents, and request a user ID on RadMD.com. With the portal, you can: Check eligibility and benets information Submit prior authorization requests 3 0 obj /MediaBox [0.0 7.9200063 612.0 799.92] /Resources << /Type /MarkInfo endobj . stream /G3 17 0 R All Rights Reserved. endobj /Type /StructElem /X39 42 0 R 2 [92 0 R 93 0 R 94 0 R 95 0 R 95 0 R 95 0 R 96 0 R 97 0 R 97 0 R 98 0 R The company's services use turnkey engagement that reduces financial inequity, dramatically lowers risk, and measurably increases the bottom line while providing massive ongoing savings for both employers and participants, enabling consumers to find out opportunities for savings and enhanced coverage. /MediaBox [0.0 7.9200063 612.0 799.92] BCBSAZ Health Choice network providers can access our secure physical and behavioral health service portals to view claims information, prior authorizations, forms and other resources. /F8 22 0 R /Kids [6 0 R 7 0 R 8 0 R 9 0 R 10 0 R 11 0 R 12 0 R 13 0 R] /CA 1 100007 202 0 R 100008 203 0 R] /ca 1 /Height 371 >> 129 0 R 129 0 R 130 0 R 131 0 R] /DisplayDocTitle true /TrimBox [0.0 7.9200063 612.0 799.92] >> /Parent 2 0 R /StructTreeRoot 3 0 R Provider Portal: /X11 24 0 R /K [58 0 R] /Parent 2 0 R endobj /F8 22 0 R Resources for providers and health care professionals. << /Contents 57 0 R Provider of health benefit administration services intended to convert healthcare liability into enterprise growing value. endobj << Magellan Behavioral Health providers, Join our network, check member eligibility, submit and check claims and find important information and more. /F8 22 0 R Login to the Health Provider Portal Many Queensland GPs have now registered for access to the Health Provider Portal (HPP). /F45 47 0 R Click to skip to content. 16 0 obj >> /Resources << >> /CreationDate (D:20220106143836+00'00') Provider Portal Provider Secure Login Welcome to the New Provider Portal Returning User Login Username Password Forgot Username/Password? /Parent 2 0 R /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] 181 0 R 182 0 R 183 0 R 183 0 R 184 0 R 184 0 R 185 0 R 186 0 R 187 0 R 188 0 R EmblemHealths Bridge Program Is Growing! The Bright HealthCare Provider Portal A Faster Way. /G3 17 0 R To do this, simply schedule a free, no-obligation consultation. /ExtGState << /F8 22 0 R /G3 17 0 R /StructParents 2 MERP Questions? << The UnitedHealthcare Provider Portal has more than 40 tools that allow you to take action on claims and get the answers you need quickly. Please remember to logout when it's not in use. /ML 4 The UnitedHealthcare Provider Portal allows you to quickly get the answers you need so you can save valuable time and get better documentation and visibility. All rights reserved. Eligibility and claim status information is easily accessible and integrated well. Description. /Contents 39 0 R /F15 27 0 R /F16 28 0 R /Contents 23 0 R /X37 41 0 R Provider Log In: Email Address: Password: Forget your User Name or Password?Click Here. /F17 29 0 R /X13 25 0 R /F7 21 0 R >> /ID (node00620098) /MediaBox [0.0 7.9200063 612.0 799.92] Get up-to-date information on pharmacy benefits services and prescription drug coverage. xwEss}|E%]. /Parent 2 0 R /F7 21 0 R /X13 25 0 R /ExtGState << /XObject << endobj Every year, Medicare evaluates plans based on a 5-star rating system. /MediaBox [0.0 7.9200063 612.0 799.92] >> /BleedBox [0.0 7.9200063 612.0 799.92] >> 2022 Magellan Health, Inc. All Rights Reserved. SAVE TIME + REDUCE COSTS WITH OUR ONLINE TOOLS AND RESOURCES SECURE PROVIDER PORTAL Enjoy the cost and time-savings of one-stop access to member eligibility, claims, authorization information, and more. /F8 22 0 R /Type /Page /TrimBox [0.0 7.9200063 612.0 799.92] >> /Pages 2 0 R
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