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HealthChoice Providers

2023 Provider portal

View or file claims, check eligibility and benefits, initiate or check certification requests, view remittance advice and more for claims with dates of service after Jan.  1, 2023.

Contracting Self-service portal

View or make changes to a TIN, term a provider via roster upload and verify all providers associated with the TIN. 
 

Policies and Guidelines

View plan policies, guidelines and information.



 


Certification

View guidelines and services requiring certification.
 

Fee Schedules

Network providers can log in to the fee schedule to view current and historical fee schedules.

Network News

Stay up to date with plan changes by checking out the Quarterly Network News.


Contracts and forms

Join the provider network or update your information.
 

Provider rights

Find answers to questions about out-of-network claims, appeal rights and cost transparency

Find a provider

Search for a Network provider by name, facility, specialty or ZIP code.
 


Patient services

Find access to low or no-cost services, mental health services, and care management services for chronic conditions.
 

Pharmacy Benefit Information

View member copays and costs, prior authorization, limits, specialty medications, step therapy and medication lists.

Last Modified on Dec 20, 2023