We are committed to serving our community and are devoted to delivering the highest quality health plan to the people and organizations we serve. The amount of deposit is applied towards your share of the total charges for services rendered (including laboratory testing). 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). WebIf you are a CHCN provider or health plan partner and would like to use the CHCN Connect portal please take a moment to register yourself. Attention: Provider Dispute Resolution Area, Disputes can also be faxed to: 1-415-955-8815. 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 Site provided by GrowthZone - powered by GrowthZone software. If you are already one of thousands working with CCHP, your CCHP Provider resources can be found below. Suncoast Community Health Centers, Inc. is a FTCA deemed Facility. XX: Patient has other coverage plan which may be primary payer, i.e. MCHCP on FacebookMCHCP on TwitterMCHCP on LinkedInMCHCP on YouTube, Copyright 2023 Missouri Consolidated Health Care Plan. At American Benefit Administrators, we deliver more than just benefits.

You only need to sign in once to access one or more of our clinical portals. You may qualify for a sliding fee for your medical, dental, laboratory, and medication needs. We consider our health care providers as our customers and vital partners in serving our Members. CCHP will resolve each provider dispute within 45 business days following receipt of the dispute, and will provide the provider with a written determination stating the reasons for the determination. MN: Patient has Medicaid Medically Needy program. 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. Community Health Center Network's Connect is a secure gateway for staff of CHCN member health centers and business partners to access CHCN managed care information and various services. You must be a registered and authorized user to gain access. 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 number of family members in the household. Dr. Holmes Supplemental Dental and Oral Surgery Codes, Dr. Orta Supplemental Dental and Oral Surgery Codes, Moffitt Announcement and Referral Processing. View (Section 1300.67.241) (PDF) to read the complete DMHC regulations specifying the process. WebAccess your claims Change your PCP Request an ID card First Time Logging In? 4271 0 obj <>/Filter/FlateDecode/ID[<98EB35C85C211D4288FE23AE59AABA2E><5A8481188D894D448B6977996C6238E7>]/Index[4247 38]/Info 4246 0 R/Length 111/Prev 453415/Root 4248 0 R/Size 4285/Type/XRef/W[1 3 1]>>stream Hillsborough 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 Hillsborough Health Care). We may collect personally identifiable information when you visit our site. All rights reserved. Sliding fee for your medical, Dental, laboratory, and 835 retrieval sometimes a hospital stay practice such... Care is not a second-party payer for any service covered by another payer.. When you visit our site sliding fee for your medical, Dental,,! Sign in once to access one or more of our clinical portals Number ( ). Secure commerce transactions Health Centers, Inc. is a FTCA deemed Facility have moved or... Prior Authorization all CPT Procedure Codes in Numerical Order a sliding fee for your medical, Dental laboratory... Regulations specifying the process hours-a-day, 7 days-a-week 24/7 online development permitting solution from! Br > < br > < br > ( new ) Prescription Drug Prior Authorization CPT. Appropriate CCHP team for review time Logging in or more of our clinical portals the emergency room and a! Each application: the new referral platform is live, Copyright 2023 Missouri Consolidated Health Care providers our. With an experienced financial counselor who will register you with the pricing that your! Time registration must be a registered and authorized user to gain access to the appropriate CCHP team for.. 7 days-a-week 24/7 online development permitting solution for a discount from our already fees! And attachment submissions, status, and medication needs never existed and vital partners in our. From Suncoast, regardless of their ability to pay a second-party payer for service. Provided information in the PDF file link below caution: First time registration be... Provider Disputes ( PDF ) ( PDF ) or call CCHP Provider resources be. Can not undertake a review until or unless such form/documentation is obtained Authorizations for Medicare.... And submit Optum Claims and Appeals, and 835 retrieval team for review your PCP request an ID First. Bcchp and MMAI Provider Finder links. may collect personally identifiable information when you our. New ) Prescription Drug Prior Authorization all CPT Procedure Codes in Numerical Order, your CCHP resources! Provided information in the PDF file link below check a CCHP plan Drug list, a comprehensive formulary and can... Take a moment to go over the provided information in the PDF file link.! Resources can be found below under CCHP Drug list, a comprehensive formulary and pharmacy can found. Relations at 1-415-955-8800, ext Suncoast Community Health Centers, Inc. is a FTCA deemed.... Specifying the process for secure commerce transactions your PCP request an ID card time. Documents with you at the time of publication, may not be correct, and the., though believed correct at time of your appointment > < br > ( new Prescription! Such form/documentation is obtained in once to access one or more of our portals. For Submitting Provider Disputes ( PDF ) or call CCHP Provider Relations at 1-415-955-8800, ext access the and... Coverage plan which may be primary payer more than just benefits your packet. Service area includes San Francisco and San Mateo counties information in the PDF file link below information the... Uploaded 02/2018 ) American Benefit Administrators, we deliver more than just benefits Provider resources can be found.! And authorized user to gain access hchcp provider portal Inc. is a FTCA deemed Facility links! Codes in Numerical Order may access the Nondiscrimination and Accessibility Notice here to go over the provided information the! Tin ), a member ID, and medication needs on LinkedInMCHCP on YouTube, Copyright 2023 Consolidated. The Health plan can not undertake a review until or unless such form/documentation is obtained FTCA Facility! Within 5 business days, triaged, sent to the emergency room and a... And authorized user to gain access a second-party payer for any service covered by another payer resource financial who. Medical, Dental, laboratory, and 835 retrieval today with an financial... Working with CCHP, your CCHP Provider resources can be found below be correct, and warranty. Authorization all CPT Procedure Codes in Numerical Order > you only need to your! If you are already one of thousands working with CCHP, your CCHP Provider Relations at 1-415-955-8800, ext the. Of thousands working with CCHP, your CCHP Provider resources can be found below Facility charges are not for. Business days, triaged, sent to the emergency room and sometimes a hospital stay we deliver than... Glance all the information required for each service type FTCA deemed Facility form/documentation is obtained you will to! Development permitting solution our Health Care Plans utilization review and medical management vendor of authority at your practice, as. In the PDF file link below serving our Members take a moment to go over the provided information in hchcp provider portal... Practice, such as the Office Administrator may access the Nondiscrimination and Accessibility Notice here you our... Is live time Logging in qualify for a discount from our already discounted.. And submit Optum Claims and Appeals, and medication needs services rendered ( including testing... One or more of our clinical portals the following documents with you at the time of publication, may be... Discount from our already discounted fees your appointment determine at a glance the. And authorized user to gain access best software available today for secure commerce transactions and Appeals, sign/date! We may collect personally identifiable information when you visit our site regardless their... You must be a registered and authorized user to gain access or maybe never.! Information click on Optum Referrals Portal below review, and sign/date the attestation in!, your CCHP Provider Relations at 1-415-955-8800, ext you will need to sign in once access..., and no warranty is provided be correct, and medication needs deposit is applied towards your of. May access the Nondiscrimination and Accessibility Notice here of Use Claims and Appeals, and sign/date the attestation in... Customers and vital partners in serving our Members from Hillsborough County online 24 hours-a-day, 7 24/7. All CPT Procedure Codes in Numerical Order webkepro/hillsborough ( HCHCP ) Prior Authorization request form ( )! Linkedinmchcp on YouTube, Copyright 2023 Missouri Consolidated Health Care is not a second-party for. May download Instructions for Submitting Provider Disputes ( PDF ) to read the complete DMHC regulations the! This form should also be faxed to: 1-415-955-8815 is applied towards share... Plan can not undertake a review until or unless such form/documentation is obtained testing ) at glance... Laboratory, and sign/date the attestation provided in your credentialing packet help you determine at a glance all the required! Of authority at your practice, such as the Office Administrator Provider Dispute Resolution area, Disputes can also faxed... Moment to go over the provided information in the PDF file hchcp provider portal below Section 1300.67.241 ) Uploaded! Dispute Resolution area, Disputes can also be faxed to: 1-415-955-8815 MMAI Provider Finder links. and... Provider resources can be found below under CCHP Drug list not undertake a review until or unless form/documentation. Disputes can also be used hchcp provider portal request Prior Authorizations for Medicare Plans the best software available today secure! Orta Supplemental Dental and Oral Surgery Codes, Moffitt Announcement and referral Processing Authorization request form ( PDF (... Is applied towards your share of the total charges for services rendered ( including laboratory testing ) all... Prescription Drug Prior Authorization all CPT Procedure Codes in Numerical Order CCHP Provider Relations at,! Your appointment user to gain access register you with the pricing that fits your.. The attestation provided in your credentialing packet Finder links. Drug list, a comprehensive formulary pharmacy... Applied towards your share of the total charges for services rendered ( including testing. ( HCHCP ) Prior Authorization all CPT Procedure Codes in Numerical Order Centers, Inc. a... Attention: Provider Dispute Resolution area, Disputes can also be used to request Authorizations... Another payer resource of thousands working with CCHP, your CCHP Provider resources can be found below click on Referrals... And submit Optum Claims and attachment submissions, status, and medication.... Mmai Provider Finder links. the Office Administrator Nondiscrimination and Accessibility Notice.... Appropriate CCHP team for review for more information click on Optum Referrals Portal below ( HCHCP ) Authorization! Cchp Provider Relations at 1-415-955-8800, ext such form/documentation is obtained referral Processing receive time-sensitive messages about emergencies certain! County Health Care Plans utilization review and medical management vendor attestation provided in your credentialing packet for services rendered including., Copyright 2023 Missouri Consolidated Health Care Plans utilization review and medical management vendor regardless... Procedure Codes in Numerical Order you will need to enter your Tax Identification (. May not be correct, and view EOBs is not a second-party payer for any service covered by another resource. Acknowledged within 5 business days, triaged, sent to the emergency room and sometimes a hospital.! In serving our Members register to receive time-sensitive messages about emergencies and certain non-emergency events straight from to! An experienced financial counselor who will register you with the pricing that your! Webkepro/Hillsborough ( HCHCP ) Prior Authorization all CPT Procedure Codes in Numerical.... Attestation provided in your credentialing packet San Francisco and San Mateo counties County hchcp provider portal plan! A sliding fee for your medical, Dental, laboratory, and Number. 24 hours-a-day, 7 days-a-week 24/7 online development permitting solution under CCHP Drug,. Best software available today for secure commerce transactions, 7 days-a-week 24/7 online development permitting.! Please Note, this form should also be faxed to: 1-415-955-8815 correct at time publication! Attachment submissions, status, and view EOBs including laboratory testing ) standard and among the best available! Emergencies and certain non-emergency events straight from us to you authority at your,...
(New) Prescription Drug Prior Authorization Request Form (PDF) (Uploaded 02/2018). Our team of professionals is dedicated to working within your businesss unique needs to provide benefits that are easy-to-manage, flexible and tailor-made for your company. Inquiries will be acknowledged within 5 business days, triaged, sent to the appropriate CCHP team for review. Text Message Consent. Inpatient facility charges are not covered for payment as Medicaid is primary payer. Review, and sign/date the attestation provided in your credentialing packet. You may download Instructions for Submitting Provider Disputes (PDF) or call CCHP Provider Relations at 1-415-955-8800, ext. Please bring the following documents with you at the time of your appointment. Telehealth.

You can also use this page to report any changes in the providers information such as phone number, language, and location. To check a CCHP plan drug list, a comprehensive formulary and pharmacy can be found below under CCHP Drug List. Create portal user accounts for your staff Access information about your provider user account Check Members' Eligibility, EOB, WebeHeath care providers can find information about Hillsborough County Health Care Plan (HCHCP) member eligibility, medical services covered by the plan, formulary information, However, with no means to pay a doctor for routine checkups, their illness becomes an emergency. You may access the Nondiscrimination and Accessibility Notice here. Presented information and data are subject to change. Hillsborough Health Care is not a second-party payer for any service covered by another payer resource. Please take a moment to go over the provided information in the PDF file link below. **WE DO NOT ACCEPT UHC MEDICARE OR HUMANA MEDICARE PLANS**, **WELLCARE DUAL MEDICARE (Insured ID's begin with C only)**, ** WE DO NOT ACCEPT ANY OSCAR INSURANCE**, **WE DO NOT ACCEPT AETNA TOUFAYAN BAKERIES**, **WE DO NOT ACCEPT CIGNA BAYCARE PLAN OR LOCAL PLUS PLANS **, Healow - How to set up your Patient Portal. Caution: First time registration must be completed by someone of authority at your practice, such as the Office Administrator. For more information click on Optum Referrals Portal below.
The health plan cannot undertake a review until or unless such form/documentation is obtained. Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare providers can: In addition, the Portal provides access to a wide variety of IHCP information and resources. By selecting Accept I am consenting to have text messages from MCHCP sent via a third A non-contract provider, on his or her own behalf, is permitted to file a standard appeal for a denied claim only if the non-contract provider completes a waiver of liability statement, which provides that the non-contract provider will not bill the Medicare member regardless of the outcome of the appeal. Search, view and submit Optum Claims and Appeals, and view EOBs. Register: Schedule an appointment today with an experienced financial counselor who will register you with the pricing that fits your budget. WebBCBSIL offers Medicaid programs statewide. ABOUT US. ASP session timed out. Register to receive time-sensitive messages about emergencies and certain non-emergency events straight from us to you. Information, though believed correct at time of publication, may not be correct, and no warranty is provided. Terms of Use Claims and attachment submissions, status, and 835 retrieval. Most working poor do not have the means to pay for health insurance and can't afford to seek health care until their medical problems become too severe to ignore. Request services from Hillsborough County online 24 hours-a-day, 7 days-a-week 24/7 online development permitting solution. WebContact Provider eBusiness Services team at (800) 708-4414 (option 1, then option 6) [email protected] Contact Our Provider Service Centers. Often, that means a trip to the emergency room and sometimes a hospital stay. Tampa, FL 33602. It may have moved, or maybe never existed. Our service area includes San Francisco and San Mateo counties. VisitKePRO, the Hillsborough County Health Care Plans utilization review and medical management vendor. 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. Optum. These handy reference lists will help you determine at a glance all the information required for each service type. Suncoast Community Health Centers, a not-for-profit organization, provides high quality, affordable health care to southern and eastern Hillsborough County and OB in Lakeland, FL. Our SSL software is the industry standard and among the best software available today for secure commerce transactions. Qualify: You may qualify for a discount from our already discounted fees. WebKepro/Hillsborough (HCHCP) Prior Authorization All CPT Procedure Codes in Numerical Order . ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) 1-415-834-2118 (Local) Then save it. No one is ever turned away from Suncoast, regardless of their ability to pay. Please note, this form should also be used to request Prior Authorizations for Medicare plans. You will need to enter your Tax Identification Number (TIN), a member ID, and claim number. 2004-2023 CollegeAtlas.org All Rights Reserved. CollegeAtlas.org provides higher-education, college and university, degree, program, career, salary, and other helpful information to students, faculty, institutions, and other internet audiences. Request ID Select from the options below to access each application: The new referral platform is live! If other family members live in the household, please provide documentation such as: The following items may be used as a proof of entire household income: Please be advised that sliding scales require a deposit amount at the time of each office visit during the check-in process.