Provider.clearhealthalliance.com

Clear Health Alliance Providers

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 …

Actived: 8 days ago

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

Enhanced Personal Health Care Program

WebThe Enhanced Personal Health Care Program empowers primary care physicians (PCPs) to more fully engage in comprehensive primary care functions that move us toward a …

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Provider Resources

WebCHA’s Behavioral Health provider network includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee assistance health …

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Behavioral Health

Web1-877-698-7787: Medicare. 1-800-397-1630: Providers wanting to join Carelon Behavioral Health Network. Preauthorizations: 1-800-221-5487: IP, IOP, PHP, SIPP, RTC. 1-844 …

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Provider Manuals and Guides

WebProvider manuals and guides. Clear Health Alliance (CHA) is committed to supporting you in providing quality care and services to the members in our network. Here you will find …

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Healthcare Effectiveness Data and Information Set (HEDIS)

WebThe Healthcare Effectiveness Data and Information Set (HEDIS ®) is a tool used by more than 90% of America’s health plans to measure performance on important dimensions of …

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Precertification Requirements

WebThe following ALWAYS require precertification: Elective services provided by or arranged at nonparticipating facilities. All services billed with the following revenue codes: 0023 — …

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Medical Policies and Clinical UM Guidelines

WebThere are several factors that impact whether a service or procedure is covered under a member’s benefit plan. Medical policies and clinical utilization management (UM) …

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Florida Medicaid member handbook

WebQuestions? Call Member Services at 1-844-406-2398 or TTY at 711. 1 CLEAR HEALTH ALLIANCE FLORIDA MEDICAID MEMBER HANDBOOK 1-844-406-2398 (TTY 711)

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CG-BEH-14 Intensive In-home Behavioral Health Services

WebMedically Necessary:. Intensive in-home behavioral health services may be considered medically necessary when ALL of the following selection criteria are met (A, …

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What Makes Clear Health Alliance Different

WebSend a letter of interest to: Clear Health Alliance, Provider Relations, 4200 W. Cypress St., Suite 900, Tampa, FL 33607. For more information related to CHA:Contact Provider …

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Training academy overview

WebOnline training in Availity Essentials. Clear Health Alliance offers online training to assist you in caring for our members with consideration of their personal language needs, thoughts, …

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A Message for Providers: Healthy Rewards

Webhttps://provider.simplyhealthcareplans.com/florida-provider https://provider.clearhealthalliance.com/florida-provider It’s simple. Every time your …

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Clinical Guidance for Treating Pregnant and Parenting …

WebSimply Healthcare Plans, Inc. Clear Health Alliance Medicaid Managed Care July 2019 . www.simplyhealthcareplans.com/provider | www.clearhealthalliance.com/provider

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Electronic Data Interchange

WebPlease contact Availity Client Services with any questions at 1-800-AVAILITY (1-800-282-4548) Monday to Friday, 8 a.m. to 7:30 p.m. ET. Electronic Data Interchange.

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Claims Submissions and Disputes

WebFrom the Availity homepage, select Claims & Payments from the top navigation. Select Claim Status Inquiry from the drop-down menu. Submit an inquiry and review the Claims …

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Preferred diabetic supply information

WebInstructions for obtaining meters: Members may call 1-866-788-9618 to have a meter shipped directly to their home free of charge. Members may take a prescription for a …

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Long-acting, reversible contraception device inventory and …

WebSimply Healthcare Plans, Inc. Clear Health Alliance Medicaid Managed Care July 2019 . www.simplyhealthcareplans.com/provider | www.clearhealthalliance.com/provider

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Taking Care of Baby and Me

WebTaking Care of Baby and Me® When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our

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