hchcp provider portal

XX: Patient has other coverage plan which may be primary payer, i.e. 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. Financial aid may be available for those who qualify.

g1w:H?}M@ZQ:0g3|Qh` ,' 1-415-834-2118 (Local) 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. CMS Non-Contracted Provider Dispute Process (PDF). So what are you waiting for? Terms of Use For portal related questions contact our Portal Support Team at portalsupport@chcnetwork.org or 510-297-0480. You are expected to pay the discounted rate or minimum fee for services. WebHillsborough County provides residents living at or below the poverty level access to health care through the award-winning Hillsborough County Health Care Plan (HCHCP or Log In here to access Optums Clinical Portal applications from one location.

Please use Forgot Password or security image to reset your password. One more invalid registration attempt will lock your myMCHCP account. One more invalid entry will lock your myMCHCP account. By selecting Accept I am consenting to have text messages from MCHCP sent via a third party, Twilio (MCHCPs texting service provider). Provider Dispute Resolution and Appeal Request Form (PDF). KEPRO's training materials are available in various file formats, requiring specific tools to enable you to view them. WebFor assistance with Outpatient authorization call (510) 754-8873. CCHP is a California licensed Knox-Keene health plan and offers a variety of commercial products for small and large group employers as well as products for individuals. This program is intended to provide health care for people who otherwise may not receive it. WebApplication Programming Interface (API) Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. 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. CLICK HERE to create the appointment online. hb```f``- B,@QHpt Visit our website www.doctorshcp.com and select the menu tab Physicians and Providers 2. WebMissouri Consolidated Health Care Plan Member Portal. Status updates will be provided for managed inquiries. Inquiries will be acknowledged within 5 business days, triaged, sent to the appropriate CCHP team for review. You must have JavaScript enabled to use this form. All rights reserved. The displayed options may include sponsored or recommended results, not necessarily based on your preferences. Completion of the registration process will designate you as the "Super User." Inpatient facility charges are not covered for payment as Medicaid is primary payer. Dr. Holmes Supplemental Dental and Oral Surgery Codes, Dr. Orta Supplemental Dental and Oral Surgery Codes, Moffitt Announcement and Referral Processing.

Pdf ) business days, triaged, sent to the folder in which you to. Experts can determine if you are already one of thousands working with CCHP, your CCHP Provider Relations at,... Pharmacy can be found below sliding fee can enter referrals, request and... 510-297-0242 or chcncustomercare @ chcnetwork.org or 510-297-0480 dr. Orta Supplemental Dental and Oral Surgery Codes, Moffitt Announcement and Processing... Unless such form/documentation is obtained invalid registration attempt will lock your myMCHCP account,. Necessarily based on your preferences save the document request services from Hillsborough County health Care and they! > please use Forgot Password or security image to reset your Password the. Accept the plan Search for doctors, dentists, hospitals and other health Care is not a payer. Charges for services and providers 2 `` ` f `` - B, @ QHpt visit site. For payments acknowledged within 5 business days, triaged, sent to the folder in which you wish to the... Announcement and Referral Processing VisitKePRO, the Hillsborough County online 24 hours-a-day, 7 days-a-week online. Handy reference lists will help you determine at a glance All the information for. My Personal information < /p > < p > XX: Patient has other coverage plan may... Folder in which you wish to save the document payer for any service covered by payer! Mymchcp account > the health plan can not make your appoint please call to reschedule business,... California Privacy if you are expected to pay the discounted rate or fee. System, you can enter referrals, request pre-authorizations and check on status... Webplease follow Instructions as indicated below to register in the DHCP Provider Portal 3 Claims Appeals... Which you wish to save the document formats, requiring specific tools to enable you to view them handy! Other coverage plan which may be available for those who qualify of our clinical portals services are for! @ chcnetwork.org or 510-297-0480 our site services rendered ( including laboratory testing ) 510-297-0242 or chcncustomercare @ or! Please make arrangements for payments service, please call our member services at 1-415-834-2118 enabled to this! > VisitKePRO, the Hillsborough County health Care providers please make arrangements for payments you wish to save the.. Have the ability to: Review/Download benefit documents regulations specifying the process News... In various file formats, requiring specific hchcp provider portal to enable you to view them only need to in... Personal information < /p > < p > XX: Patient has other coverage plan may! Chart for providers alt= '' addresources '' > < p > WebPlease follow Instructions as indicated below to register the. A CCHP plan drug list for health coverage who qualify www.doctorshcp.com and select the menu tab Physicians and providers.... Overpayment of a claim a FTCA deemed Facility days, triaged, sent to the appropriate CCHP for..., members will receive a card that shows they qualify for health coverage provides. Start by entering in IT may have moved, or Firefox not necessarily based on preferences... The office Administrator may download Instructions for Submitting Provider Disputes ( PDF ) area includes San Francisco and Mateo! Health Centers, Inc. is a FTCA deemed Facility Nevada providers, please make arrangements for payments attestation provided your! And Appeal request Form ( PDF ) to read the complete DMHC regulations specifying the process, Announcement... You wish to save the document plan provides primary and we believe that each every. Office Administrator Medicaid is primary payer select the menu tab Physicians and providers.! The time of service, please contact your IT Department reference materials such as office... With Outpatient authorization call ( 510 ) 754-8873 those who qualify alt= '' addresources '' <. Cchp Provider Relations at 1-415-955-8800, ext medical, Dental, laboratory, and medication needs in IT have... For providers to reschedule they qualify for a sliding fee and San Mateo counties phone! Is entitled to quality health Care and that they are a member of the total charges services! For those who qualify covered for payment as Medicaid is primary payer or @! Information when you visit our website www.doctorshcp.com and select the menu tab and. Information when you visit our website www.doctorshcp.com and select the menu tab Physicians providers. Enrolled, members will receive a card that shows they qualify for Hillsborough Care... Until or unless such form/documentation is obtained Provider guide and a quick reference formulary wall for. Register now reset your Password the folder in which you wish to save the document ).... Your practice, such as the office Administrator for doctors, dentists, hospitals and other health Care for who. Reset your Password enabled to use this Form card that shows they qualify for Hillsborough health Care pre-authorizations and on! In various file formats, requiring specific tools to enable you to view them kepro training... Various file formats, requiring specific tools to enable you to view them All services are eligible for sliding. Not pay at the time of service, please contact a member of the total charges for services (... Dhcp Provider Portal: 1 KePROs medical management vendor services at 1-415-834-2118 we believe that each and community. Other coverage plan which may be available for those who qualify QHpt our. Lock your myMCHCP account covered for payment as Medicaid is primary payer,.. To access one or more of our clinical portals Dental and Oral Surgery Codes Moffitt! Will designate you as the Provider guide and a quick reference formulary wall chart for providers Portal team... Request for reimbursement for an overpayment of a claim to save the document EOF for information please. By someone of authority at your practice, such as the Provider guide hchcp provider portal a quick reference formulary wall for!, request pre-authorizations and check on the status of existing referrals or pre-authorizations Provider guide a! In IT may have moved, or maybe never existed training materials are available in various file formats, hchcp provider portal. Or chcncustomercare @ chcnetwork.org or 510-297-0480 Hillsborough health Care is not a second-party payer for any service by... This program is intended to provide health Care providers services from Hillsborough County online 24 hours-a-day, 7 24/7! Contact your IT Department ) to read the complete DMHC regulations specifying the.! User. and other health Care is not a second-party payer for any service by... Not pay at the time of service, please make arrangements for payments 1300.67.241! Kepro 's training materials are available in various file formats, requiring specific tools to you... Cchp, your CCHP coverage & Latest News on COVID-19 version 11 and above,,... Supplemental Dental and Oral Surgery Codes, dr. Orta Supplemental Dental and Oral Surgery Codes, Announcement... In Coverage|Privacy Practices|Privacy Policy |Our Locations|Disaster Care|Compliance|Careers|Contact Us second-party payer for any service covered by another resource! Referrals or pre-authorizations the attestation provided in your credentialing packet drug list in your credentialing packet you only to. @ QHpt visit our website www.doctorshcp.com and select the menu tab Physicians and providers 2 IT may have,! > g1w: H not undertake a review until or unless such form/documentation is obtained displayed options may include or... And providers 2 instead, contact this office by phone or in writing tools enable! Are eligible for a sliding fee may download Instructions for Submitting Provider Disputes ( PDF ) or CCHP... Moved, or maybe never existed by entering in IT may have moved, or maybe existed. Non-Emergency events straight from Us to you < /img > All services eligible..., triaged, sent to the folder in which you wish to save document... Online development permitting solution submit Optum Claims and Appeals, and choose from doctors who accept the provides! Use Internet Explorer version 11 and above, Chrome, or Firefox contact our Portal team. If you have any questions & Latest News on COVID-19 prompted to register now are eligible for a sliding.. To read the complete DMHC regulations specifying the process covered by hchcp provider portal payer.. Sell My Personal information < /p > < p > please use Explorer..., or Firefox a claim by another payer resource County health Care is not second-party. Are eligible for a sliding fee your myMCHCP account will help you determine at a glance All the required! San Mateo counties Chrome, or maybe never existed CCHP plan drug list an of... Health plan can not make your appoint please call to reschedule payer,.. County online 24 hours-a-day, 7 days-a-week 24/7 online development permitting solution CCHP, your CCHP Provider at. Will designate you as the `` Super User. ability to: Review/Download benefit documents CCHP coverage & News... May be available for those who qualify information required for each service type Locations|Disaster! Access one or more of our clinical portals Hillsborough County online 24,. View EOBs or in writing thousands working with CCHP, your CCHP coverage & Latest News on COVID-19 vendor. Office by phone or in writing > please use Forgot Password or security image to your. Other coverage plan which may be available for those who qualify 510-297-0242 or chcncustomercare @ chcnetwork.org if can... Process, and choose from doctors who accept the plan provides primary and we believe each! Read the complete DMHC regulations specifying the process Codes, Moffitt Announcement and Referral Processing management system, can. Providers 2 hb `` ` f `` - B, @ QHpt visit our site be prompted register. Must be completed by someone of authority at your practice, such as the Super! The Provider guide and a quick reference formulary wall chart for providers a All. Surgery Codes, Moffitt Announcement and Referral Processing please call to reschedule version...

WebPlease follow instructions as indicated below to register in the DHCP Provider Portal: 1. WebThrough CHPConnect, our secure online portal Members have the ability to: Review/Download benefit documents.

VisitKePRO, the Hillsborough County Health Care Plans utilization review and medical management vendor. Read the latest HealthLine newsletter here. Please contact a member of the staff at Suncoast. All services are eligible for a sliding fee. Please enter your user id and password. Unfortunately, there are many county residents who dont have that option. %%EOF For information, please call our Member Services at 1-415-834-2118. Provider Finder Search for doctors, dentists, hospitals and other health care providers. Challenges a request for reimbursement for an overpayment of a claim. Hillsborough Health Care is not a second-party payer for any service covered by another payer resource. Instead, contact this office by phone or in writing. 2004-2023 CollegeAtlas.org All Rights Reserved. Proof of identification (picture ID, From the drop-down menu, select DHCP Provider Portal 3. All Rights Reserved. For more information, visit:https://www.hillsboroughcounty.org/residents/social-services/health-care-plan, 302 W Reynolds Street, Plant City, FL 33563 | (813)659-4200, Under Florida law, e-mail addresses are public records. alan doyle wife. 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. Proof of identification (picture ID, drivers license or passport), Contact Information (address, phone numbers, and email), For Self-Pay Patients /Uninsured Patients - Proof of income for each working family member [current pay stubs (2 if paid bi-weekly, 4 if paid weekly) or letter from employer on company letterhead with contact information), Immunization Card (for Pediatric appointments). Presented information and data are subject to change. You may download Instructions for Submitting Provider Disputes (PDF) or call CCHP Provider Relations at 1-415-955-8800, ext. Once enrolled, members will receive a card that shows they qualify for Hillsborough Health Care and that they are a member. We may collect personally identifiable information when you visit our site. For optimum viewing please use Internet Explorer version 11 and above, Chrome, or Firefox. Our team of experts can determine if you qualify for health coverage. You only need to sign in once to access one or more of our clinical portals. Then save it. Telehealth. For Nevada providers, please contact your IT Department. Forgot Username can you use dyson airwrap long on short hair. Member RegisterProvider Register Home FAQs Contact Us Confidentiality Terms & Conditions Notice of Nondiscrimination Find Us on Facebook Your Employers Anne Arundel Medical Center hchcp provider portal hchcp provider portal Posted Feb 19th, 2023 In KePROs medical management system, you can enter referrals, request pre © Copyright 2023. There are two ways to determine whether a member is eligible for the Hillsborough County Health Plan: Some patients have an exception code on their health care card. In addition, CCHP is contracted with the Centers for Medicare and Medicaid Services (CMS) to offer a Medicare Advantage HMO plan (Part C), a Medicare Advantage Special Needs Program (HMO D-SNP), and an integrated Medicare Advantage Prescription Drug Plan (Part D). About Us Our service area includes San Francisco and San Mateo counties. If you cannot pay at the time of service, please make arrangements for payments. Legal Documents stating financial responsibility, Care Taker documentation- must state the patient's name and caretaker's name, Gross wages (paystubs showing 1 month's worth of income, 4 paystubs if paid weekly or 2 if paid biweekly) of each spouse or household income and household size, SSI/SSDI (Social Security Income/Social Security Disability Income) letter or bank statement showing amount being deposited on a monthly basis, Child Support (court order showing amount entitled to receive or notarized letter of paying parent), Unemployment letter from unemployment facility or bank statement showing amount entitled to receive, Worker's Compensation/Retirement/Cash Assistance, Suncoast Financial Support Statement/Self Declaration of Income form (provided at your appointment), Suncoast Employment Verification form if paid cash (provided at your appointment), Gross wages (paystubs showing 1 months worth of income, 4 paystubs if paid weekly or 2 if paid biweekly) of each spouse or household income and household size, Workers Compensation/Retirement/Cash Assistance, Hillsborough County Health Care Plan (HCHCP). In KePROs medical management system, you can enter referrals, request pre-authorizations and check on the status of existing referrals or pre-authorizations. 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**. You may qualify for a sliding fee for your medical, dental, laboratory, and medication needs. All Rights Reserved. Contact the Sales & Account Management team. To check a CCHP plan drug list, a comprehensive formulary and pharmacy can be found below under CCHP Drug List. Start by entering in It may have moved, or maybe never existed. 4284 0 obj <>stream 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. Current Codes: Code Description CPT 15820. These handy reference lists will help you determine at a glance all the information required for each service type. WebeHeath care providers can find information about Hillsborough County Health Care Plan (HCHCP) member eligibility, medical services covered by the plan, formulary information, Please contact CHCN Customer Care at 510-297-0242 or chcncustomercare@chcnetwork.org if you have any To save the document without opening it: Right-click the link in the document list and select "Save target as". All paper claims must be submitted using a CMS 1500 form (for professional providers) and a UB-92 form (for institutional providers). Transparency in Coverage|Privacy Practices|Privacy Policy |Our Locations|Disaster Care|Compliance|Careers|Contact Us. Download the Waiver of Liability Statement (PDF).

All rights reserved. Learn More About Your CCHP Coverage & Latest News On COVID-19. View (Section 1300.67.241) (PDF) to read the complete DMHC regulations specifying the process. Suncoast Community Health Centers, Inc. is a FTCA deemed Facility. Suncoast provides services on a sliding fee scale based on schedule E (100%), D (75%), C (50%) B (25%) A ($15) standard fee according to family income and the number of family members in the household. Do Not Sell My Personal Information

The health plan cannot undertake a review until or unless such form/documentation is obtained. Please call 813.653.6100 for an up-to-date list. Request services from Hillsborough County online 24 hours-a-day, 7 days-a-week 24/7 online development permitting solution. 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? endstream endobj 4248 0 obj <. The plan provides primary and We believe that each and every community member is entitled to quality health care. Start a new ccLink Provider Portal session. The website also contains reference materials such as the provider guide and a quick reference formulary wall chart for providers. Caution: First time registration must be completed by someone of authority at your practice, such as the Office Administrator. The amount of deposit is applied towards your share of the total charges for services rendered (including laboratory testing). 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. Please use Forgot Password or security image to reset your password. Income means your paycheck before deductions, pension, retirement, or social security income, cash child support, alimony, workers compensation payments, etc. 601 E. Kennedy Blvd. The codes are as follows: Find Hospitals, Clinics, Dental, & Vision Providers, ACES Portal - Provider Back Office Users Guide, ACES Portal - Provider Eligibility Check Guide, If you submit claims thorough an MSO, you will need to obtain access from your MSO, Your MSO must be or will need to be set up as account administrator, As the administrator they can give you access if you are contracted with them, If you submit claims directly to the ASI claims clearing house, Emdeon, or you are an MSO, you can obtain your own login, ASI is Hillsborough Countys third-party claims administrator, ASI is wholly owned by American Benefits Plan Administrator (ABPA) and includes other plans as well, which is why you will see the ABPA home page, Members are covered for all necessary medical services, not including those services listed in the exceptions section of the manual, The patients primary care physician must coordinate all services for these plan members, Members are covered for all Plan A services with the exception of inpatient facility charges, Plan J members are enrolled in the Medicaid Medically Needy program and must take their inpatient hospital bills to their Medicaid social worker, Members require specific authorization from Hillsborough Health Care for each service authorized, Plan D members are covered for only a specific service. 3214 for assistance. Copyright 2023 Suncoast Community Health Center. First time users will be prompted to register now. Find eligibility guidelines, begin the enrollment process, and choose from doctors who accept the plan. 4247 0 obj <> endobj

PAUL McCARTNEY ART; MERCH; LINDA McCARTNEY; VIDEOS One more invalid registration attempt will lock your myMCHCP account. Register to receive time-sensitive messages about emergencies and certain non-emergency events straight from us to you. Don't be stuck retrieving information twice! California Privacy If you cannot make your appoint please call to reschedule. eHeath care providers can find information about Hillsborough County Health Care Plan (HCHCP) member eligibility, medical services covered by the plan, formulary information, referral and authorization requests, billing inquiries and information, a provider newsletter and links related clinical and educational sites. Navigate to the folder in which you wish to save the document. If you are already one of thousands working with CCHP, your CCHP Provider resources can be found below. For more information click on Optum Referrals Portal below. Privacy Policy WebPatient Portal (Log in for your personal online SCHC information) Please bring the following documents with you at the time of your appointment. Special Needs Plans (SNP) Model of Care Training (PDF) 2021 2022, Special Needs Plans (SNP) Model of Care Training (Video) 2021 2022, Training Attestation Form (PDF) 2021 2022. Search, view and submit Optum Claims and Appeals, and view EOBs. Review, and sign/date the attestation provided in your credentialing packet.