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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/

Provider Resources

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

Category:  Health Go Health

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 …

Category:  Health Go Health

Medical Policies and Clinical UM Guidelines: Full List

WebAcknowledgement Medical Policies We have developed medical policies that serve as one of the sets of guidelines for coverage decisions. Benefit plans vary in …

Category:  Medical Go Health

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) …

Category:  Medical Go Health

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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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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Pharmacy Information

WebYou can reach our Pharmacy department at 1-877-577-9044 between 8:00 a.m. and 8:00 p.m. Eastern time Monday through Friday. Precertifications by fax: You can also fax your …

Category:  Health Go Health

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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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

Category:  Health Go Health

Florida Medicaid 1115 Waiver Program: Addressing housing …

WebSimply and CHA are committed to addressing socioeconomic barriers within our members’ lives in order to enhance and improve health outcomes. Identify members experiencing …

Category:  Health Go Health

A Message for Providers: Healthy Rewards

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

Category:  Health Go Health

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

Category:  Health Go Health

Medicaid Reference Guide

WebClaims dispute process Verbal dispute Written dispute 844-405-4296 Simply Healthcare Plans, Inc. Payment Appeals P.O. Box 61599 Virginia Beach, VA 23466-1599 Visit our …

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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.

Category:  Health Go Health

Join Our Network

WebWe are happy to talk with you about joining the CHA network. To inquire about participating, please send a letter of interest to: Clear Health Alliance. Provider Relations. 5411 …

Category:  Health Go Health

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 …

Category:  Health Go Health

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