Clear Health Alliance Forms

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Forms - Clear Health Alliance

(3 days ago) WebThis is a library of the forms most frequently used by health care professionals. Looking for a form but don’t see it here? Please contact your provider representative for assistance. …

https://provider.clearhealthalliance.com/florida-provider/forms

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Referrals & prior authorizations Florida Clear Health Alliance

(3 days ago) WebVaccines (except pneumonia and shingles for adults) STD diagnosis or treatment. Rabies diagnosis or immunization. School health services and urgent services. For services not …

https://www.clearhealthalliance.com/florida/care/referrals-prior-authorization.html

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Florida Medicaid Florida Clear Health Alliance

(3 days ago) WebYou can continue to call the same numbers on the back of your member ID card. If you, or anyone in your household, have standing orders or prior approvals for trips, that …

https://www.clearhealthalliance.com/florida/home.html

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Pharmacy Benefits Florida Clear Health Alliance

(5 days ago) WebIf you misplace your medicine or it is stolen, contact your provider. They will work with the pharmacy and Clear Health Alliance to review your case and replace the medicines as …

https://www.clearhealthalliance.com/florida/benefits/pharmacy-benefits.html

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Home Health/DME Precertification Request - Clear Health …

(4 days ago) WebClear Health Alliance Home Health/DME Precertification Request Page 3 of 5 ☐ E0301 - Hospital bed, heavy duty, extra wide, with weight capacity 350-600 lbs w/rails w/o …

https://provider.clearhealthalliance.com/docs/gpp/FLFL_SMH_CHA_FloridaHHDMEPreauthorizationForm.pdf?v=202111112235

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Member Secure Application - Clear Health Alliance

(9 days ago) WebMember Secure Application - Clear Health Alliance is a web portal for members of the Clear Health Alliance, a Managed Care Plan with a Florida Medicaid Contract. …

https://member.clearhealthalliance.com/

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Welcome New Member Florida Clear Health Alliance

(5 days ago) WebMember Services: 1-844-406-2398 (TTY 711) Pharmacy Member Services: 1-833-235-2028 (TTY 711) 2. Make an appointment with your primary care provider. Your main doctor is …

https://www.clearhealthalliance.com/florida/get-help/welcome.html

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How to enroll Florida Clear Health Alliance

(1 days ago) WebThere are two easy ways to enroll with us: Online: go to the Florida Statewide Medicaid Managed Care website at www.flmedicaidmanagedcare.com. By phone: call the Choice …

https://www.clearhealthalliance.com/florida/apply/enroll.html

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Clear Health Alliance Providers

(2 days ago) WebTo determine if pharmacy benefits are payable by Clear Health Alliance, please confirm the requested services are a covered benefit. Questions about members’ pharmacy benefits …

https://provider.clearhealthalliance.com/florida-provider/home

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Clear Health Alliance’s Florida Medicaid Member Handbook

(6 days ago) WebAddress Clear Health Alliance 9250 W. Flagler St., Ste. 600 . Miami, FL 33174-9925 . Transportation services: nonemergency . Call 877-671-6671 if you live in Broward, Miami …

https://www.clearhealthalliance.com/florida/flfl_cha_member_handbook_eng.pdf

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Florida Clear Health Alliance Member Secure Application Florida …

(3 days ago) WebClear Health Alliance is a Managed Care Plan with a Florida Medicaid Contract. The benefit information provided is a brief summary, not a complete description of benefits. …

https://www.clearhealthalliance.com/florida/access-account.html

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Provider Manual - Clear Health Alliance

(4 days ago) WebAPPENDIX A: Forms _____ 207. 6 . 1 INTRODUCTION Welcome Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply) would like to welcome you to …

https://provider.clearhealthalliance.com/docs/FLFL_SMH_CHA_SMMCMMAProviderManual.pdf

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Provider Resources - Clear Health Alliance

(7 days ago) WebProvider forms are located in our online library for easy access. Provider forms. Provider education. Clear Health Alliance (CHA) offers training and tutorials to support providers …

https://provider.clearhealthalliance.com/florida-provider/resources

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Authorization, precertification and referral process reminder

(3 days ago) WebThen select Auth/Referral Inquiry or Authorizations. Fax: Medicaid: 1-800-964-3627 Medicare: 1-866-959-1537 Phone: Medicaid: 1-844-405-4296 Medicare: 1-844-405 …

https://provider.simplyhealthcareplans.com/docs/FLFL_CAID_SMH_AuthPrecertandReferralProcessReminder.pdf

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Florida Pharmacy Prior Authorization Form - Simply …

(3 days ago) WebClear Health Alliance, including current member eligibility, other insurance and program restrictions. We will notify the provider and the member’s pharmacy of our decision. 3. To …

https://provider.simplyhealthcareplans.com/docs/FLFL_SMH_Pharmacy_FLPharmacyPriorAuthForm.pdf

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Preauthorization Overview - Health Alliance

(5 days ago) Webfile your preauthorization at Clear Coverage, eviCore or through the Health Alliance forms for Durable Medical Supplies, Pharmacy or Medical in the middle. Follow the on-screen …

https://www.healthalliance.org/media/Resources/pnm-preauthbklt-0518-WEB.pdf

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Clear Health Alliance Resource Guide

(9 days ago) WebSimply Healthcare Plans, Inc. dba Clear Health Alliance is a Managed Care Plan with a Florida Medicaid contract. FLCHA-CD-028652-23 Revised July 2023 . Clear Health …

https://medicalpolicy.clearhealthalliance.com/docs/gpp/FLFL_CHA_CHAResourceGuide.pdf?v=202112022045

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Claims Submissions and Disputes - Clear Health Alliance

(9 days ago) WebForms. Education & Training. Claims submission and disputes. Interested in becoming a provider in the Clear Health Alliance network? We look forward to working with you to …

https://provider.clearhealthalliance.com/florida-provider/claims-submissions-and-disputes

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Bergen Medical Alliance - Englewood Health Physician Network

(Just Now) WebWelcome. At Bergen Medical Alliance, we take pride in supporting the health of you and your family. We provide individualized health care in an environment that is both caring …

https://www.englewoodhealthphysicians.org/our-practices/bergen-medical-alliance/

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NAMI Greater Bergen: Mental Health Support, Education

(Just Now) WebNAMI Greater Bergen serves residents across Bergen County with free mental health support, online groups, resources and education. With No Clear Answers April 11, …

https://namigreaterbergen.org/

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SMALL EMPLOYER HEALTH BENEFITS WAIVER OF COVERAGE

(7 days ago) WebHorizon BCBSNJ – Director, Regulatory Compliance Three Penn Plaza East, PP-16C Newark, NJ 07105 Phone: 1-800-658-6781 Fax: 1-973-466-7759 Email: …

https://www.horizonblue.com/sites/default/files/2016-09/2465%20%28W0616%29%20Small%20Employer%20Benefits%20Waiver.pdf

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