email Provider Access technical support. When you joined the ComPsych Network, you were assigned a Provider Number and a Location Number. psychiatric, substance abuse, residential, intensive outpatient, etc. Does your entity have the minimum Liability insurance of $1 million/ $3 Million for both General Liability and Professional Liability? The information below does not apply to Puerto Rico. 0000171326 00000 n Spring Health providers confidently participate in the first pay-for-performance system in mental healthcare based on patient outcomes.Candela monitors the care members receive, supports provider professional growth, and reduces health care costs through faster recovery times. <<029EE0A87EE103459B39FDA84B129515>]/Prev 1225181>> Click on Register Now. New provider: PDF Healthcare Software for Your Medical Practice | Office Ally We invest in resources that uplift our providers and drive industry-leading recovery rates. Doctors who accept ComPsych Insurance | Doctor.com 0000008137 00000 n Search for a provider using Priority Partners provider search. Incomplete, incorrect, or illegible forms may delay or prevent proper processing. This application must be filled out completely and accurately and requires documentation such as your medical license, certificates of malpractice insurance, proof of education or board certification, among others. At that time, you will have an opportunity to discuss which lines of business your agency would like to serve. 0000007222 00000 n preliminary and permanent injunction, if such a breach occurs. copy, reproduce, transmit, publicly display, publish, adapt, edit or create derivative works from, such information. We'd love to include you. Spring Health providers confidently participate in the first pay-for-performance system in mental healthcare based on patient outcomes. ComPsych Corporation is the world's largest provider of employee assistance programs (EAP) and is the pioneer and worldwide leader of fully integrated EAP, behavioral health, wellness, work-life, HR, FMLA, and absence management services under its ComPsych GuidanceResources brand. Hire The Best ComPsych Credentialing Specialist That Can Successfully Get Your ComPsych Provider Enrollment Application Approved Today! 0000018858 00000 n application and return it by fax to 1-502-508-0521 or by email to credentialinginquiries@humana.com. Dr. Apply to the Humana Network 0000014440 00000 n Provider Enrollment | Alliant Health Plans - AlliantPlans.com To check your status, please use the secure link provided in the email you received during enrollment. In order to do so, we welcome provider applications for the credentialing and contracting process. You are an authorized requestor for your organization. We work closely with you to ensure that no patient falls through the cracks. hT]lLA>3K5DUJZ%$?Q'Txdn"/xk%. administrator. If you might have any questions, call us! It is important to attach all correct and required documents as applicable. Plan Benefits Pharmacy and Formulary Forms Announcements ComPsych Credentialing services provide the necessary details to guarantee that an individual's credentials, such as qualifications, experience and qualifications fulfill particular requirements. Whether treating patients in a clinic, hospital or as a volunteer in an underserved community, Dr. Minaya is dedicated to helping those in their time of need. New masking guidelines trailer Accreditation status (i.e. ComPsych Credentialing assists employers and organizations make notified decisions about choosing and can protect clients from unqualified practitioners by making sure competent specialists are offering services. If you have purchased an association plan, an association fee may also apply. This will need to be completed before the formal credentialing process begins. Please enable JavaScript in your browser to complete this form. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Are you a Community Mental Health Center, Federally Qualified Health Center, Rural Health Center, or other Federally or State licensed or certified Entity? Be sure to choose option #3 if youd like to join an in-network group or #4 if youre a participating practitioner who has relocated to a new state. Contact us today! 0000195016 00000 n As part of our network, youll benefit from: Find answers to questions about accessing the provider portal, submitting claims, our credentialing process, and more. The Joint Commission, CARF, COA, etc.) . 0000085176 00000 n Once we've received your signed contract, youll need to get credentialed. Daily Program Schedule(s) include an hour-by-hour schedule showing a patients daily treatment for each level of care you provide. If you have purchased an association plan, an association fee may also apply. Humana is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (Humana Entities). Participating health plans and EAPs may have different enrollment processes. All clinicians who are eligible, based on Optum Criteria, agree to participate, Claims are submitted under the practice TIN; individual practitioner is also identified on the claim, Must have a central intake and central billing, Must have capability for cross coverage and triage for urgent appointments, Minimum of 5 providers who will be credentialed. Registration help. View plan provisions or check with your sales representative. 0000000016 00000 n Credentialing ensures that health care providers meet certain standards and qualifications, which can help protect both patients and providers. 0000011767 00000 n Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. Note: You'll be redirected to ComPsych's provider portal to unenroll and re-enroll from their . Best ComPsych Doctors Near Me | Zocdoc If youre not registered with CAQH, visit CAQH.org to set up an account and complete an application. Once you've completed and submitted your request for participation, and weve confirmed you meet eligibility requirements, well send the contract through our secure application to the email you used to register. 61 mi. addition to its rights and remedies otherwise available at law, ComPsych will be entitled to equitable relief, including both a If you are experiencing technical problems, please Please use the appropriate link to fill out your certification application. To eliminate the need to submit multiple credentialing applications, we participate in the CAQH. Take the first step towards becoming licensed and credentialed in your chosen field by researching the licensing options available. . 0000019470 00000 n For answers to your questions regarding the CAQH application or website, call the CAQH Support Desk at 888-599-1771, Monday to Friday, 8 a.m. to 8 p.m., Eastern time. ComPsych Corporation is the world's largest provider of employee assistance, work-life, and absence management services. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. Please note that the following documents will be required (as applicable): If you are not accredited, a site audit will be required before the credentialing process will be complete. By accessing this information, each authorized user agrees that he or she shall not sell, license, rent, modify, distribute, Please note following documents will be required (As Applicable): Improve the Speed of Processing - Tips for Applying to the Network. 0000016688 00000 n 0000006670 00000 n AHP encourages all participating providers to take advantage of our electronic funds transfer option; therefore, please submit the enrollment form with your application for participation. Credentialing is an essential part of making sure members receive reliable healthcare services from qualified providers. 6 Tips to Help You Navigate Payor Enrollment - symplr Click on "Provider" in the FECA section. Our care team drives outcomes and satisfaction through compassionate, clinical expertise and precision tooling. 0000015206 00000 n So start on the course to success today! Furthermore, ComPsych credentialing is an important component of risk management and can help safeguard clients from unqualified workers. Instead, you'll be added to the existing agreement once you've been approved for credentialing. 855-699-6694, Frequently asked questions He has a PsyD from The Chicago School of Professional Psychology and an MA from Boston University. Managing your availability for in-network client referrals - SimplePractice Psychologist. 0 Accreditation status (i.e. WHERE TO SUBMIT COMPLETED DOCUMENTATION Email: HFEFTERA@Health rst.orgFax: 1-646-313-4635Mail:Provider Operations and ReimbursementP.O. Then click on "Web Registration" and follow the instructions. Questions about registration Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. 0000007860 00000 n Specialities include communication and relationships, life transitions, and productivity. Credentialing is an important step in the process of becoming a healthcare provider. Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. Take the first step to ensuring your professional credentials are recognized and respected. Whether you have questions or are interested in learning more about how we can best support you, please reach us by calling our National Provider Services Line at 800-397-1630, Monday through Friday, 8 a.m. to 8 p.m. Eastern time. To find providers that accept Medicare Assignment, please visit: Important information for Medicare Supplement insurance customers: doctors or other providers that accept Medicare Assignment will accept the Medicare-approved amount as payment in full on all Medicare claims, and only bill for any deductible, copay or coinsurance amount. Do you offer licensed/certified Mental Health and/or Substance Use Disorder (SUD) inpatient and/or lower level of care services (i.e., Inpatient, Detox, Residential, Partial Hospitalization (PHP), and Intensive Outpatient (IOP) programs? Designed by Elegant Themes | Powered by WordPress. Register for upcoming webinars and use the archive to access past trainings. It is recommended you bookmark/save your Regional page in your browser. DHR - Division of Statewide Benefits - Delaware Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. Priority Partners Forms - Johns Hopkins Medicine We strongly encourage you to use all available electronic options to help ensure the timeliness, accuracy, and security of claims-related information. New facility: If You Are Looking For A Behavioral Health Medical Credentialing Specialist & Contracting Services, Saurage Collective Can Complete All Your Healthcare & Medical Credentialing Specialist Requests & Needs! Log In|First-time User|Global|Site Map. Make sure you are compliant with all of your credentialing requirements to protect the safety and security of your employees. Request a demo and start improving your workforce healthcare today! ABA certification applications Facility/ancillary certification applications Data and transparency are foundational to our approach. Policy and Procedure for Discharge Planning. This consists of validating qualifications, certifications, licenses, and other files associated with the job at hand. Make the clever choice and hire a ComPsych Credentialing Specialist today. Certain healthcare partners, like ComPsych, require that you enroll through their provider portal. Some plans may also charge a one-time, non-refundable enrollment fee. With Spring Health, you can see a therapist in just two days. To apply, please complete and return the Contract Request Form per the included instructions. Humana Individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. 0000022142 00000 n Current State License (s)/ Certificate (s) for all behavioral health services you provide, i.e. Go to the Portal. ComPsych Credentialing services likewise provide a method for organizations to keep compliance with state and federal guidelines. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Learn more about Precision Mental Healthcare. Some plans may also charge a one-time, non-refundable enrollment fee. 0000001096 00000 n Box 5168, New York, NY 10274-5168 EFT PROCESS COMPLETION GUIDE AND ADDITIONAL INFORMATION This form is to be used to enroll, change, or terminate your EFT. Individual applications are subject to eligibility requirements. ComPsych Corporation - GuidanceResources Online - Login ("ComPsych") and may only be viewed by authorized users. Please note that your group must meet the below criteria in order to be considered for a group contract: If you meet these requirements, click here to complete the agency application. Monday-Friday 0000009653 00000 n If not accredited, a site audit will need to be scheduled and conducted, Please include a signed completed W-9 form. This helps simplify your search process so you can concentrate on more important aspects of running your company. Do you have minimum professional liability coverage of $5 million/$5 million for acute inpatient services, and minimum professional and comprehensive liability coverage of $1 million/$3 million for non-acute inpatient services (unless state requirements vary)? Compass surfaces the right information at the right time to ensure more members get evidence-based care and recover faster. ComPsych will suffer irreparable harm in the event that an authorized user fails to comply with these terms of use and that, in Take the trouble out of provider enrollment and trust an ComPsych Credentialing Specialist to finish the job right. Current State License(s)/ Certificate(s) for all behavioral health services you provide, i.e. Our credentialing process ensures youre part of a quality network where in-network referrals can be trusted. Each HealthPartners strongly encourages EFT as your payment method so you have your access to your payments as soon as . If you're not a CAQH-participating provider, we encourage you to contact our National Provider Services Line at 800-397-1630 for further instruction. TriWest Practitioner Credentialing Application 0000013233 00000 n A current state license or certificate for all services and locations where you offer services, Medicaid and/or Medicare certification letters with applicable registration numbers, Current General and Professional Liability insurance certificates with Liability limits and expiration dates, Current Staff roster including license, taxonomy and NPI. Visit this section for information specific to Priority Partners. To determine your Provider Number or Location Number, please refer to your certification letter. Incentives for top-performing providers.Monthly provider reports with network- wide scoring along clinical and operational metrics.Consistent provider improvement through coaching and training. Home Provider Education and resources Quick access Forms Provider forms Certification applications Please note: Some certification applications are now available digitally only. . A group contract including fee schedule will be sent to the credentialing contact person at your agency after the application is reviewed. Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. Note: Adobe Acrobat Reader is required to view and print PDFs, click here to complete the agency application. Currently participating practices: Administered by Humana Insurance Company. Non-CAQH participating providers: If you're not a CAQH-participating provider, we encourage you to contact our National Provider Services Line at 800-397-1630 for further instruction. are in effect starting April 24. 0000161280 00000 n Practitioner Credentialing Application Practitioner Credentialing Application To expedite processing of your application, please complete this application in its entirety and attach the following documentation. Direct care is available virtually and in person. The Joint Commission, CARF, COA, etc. If all of the information is found to be correct and complete, you will be issued an official Credentialing Certificate confirming that you have met all relevant requirements. Patients love working with our providers. ComPsych | LinkedIn Additional Information can be found online at the Maryland Department of Health'sNew Provider Enrollment Portal. With support from knowledgeable specialists, youll feel confident that all areas related to ComPsych credentialing are managed with accuracy and efficiency eventually resulting in greater success for your business. 0000002118 00000 n Providing quality, compassionate care for every patient is Dr. Sheila Turbides Minaya's passion. For those interested in joining a network of healthcare providers, the credentialing process is a requirement. Enrolling a provider with commercial payors is done by completing and submitting a detailed application and contract to each payor. There are five steps to joining our network. For New Mexico residents: Insured by Humana Insurance Company. identify as Black, Indigenous, and People of Color. Provide your personal details to sign up. 0000014017 00000 n Applications vary widely among the health plans, with some using an online process. Stay up to date on policies and procedures, quality programs, appeals, and credentialing information.
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