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Provider Resources
Provider Resources
The Provider Online Service Center allows HealthPlus network providers to access referral and claims details, view their personal HealthPlus enrollee lists and search for other health care providers online!
Choose from the following:
Appeal Process
Review our Appeals Process for health care providers
Benefit Level Grids
Summary of benefits and copayments of the health benefits provided by HealthPlus.
Claim Inquiry
Check on the status of your HealthPlus claims
Claims Adjustment Form
Claims Adjustment Form
County Health Plans
BHP, GHP & SHP directories, Benefit Summaries and more...
Claims Adjustment Online Submission
Online Claims Adjustment Form
DME Bulletins & Guidelines
HealthPlus DME Bulletins and Guidelines
Claim Submission Guidelines
HealthPlus of Michigan provides claims processing through electronic transmission or paper submittals.
EOP Inquiry
Review your "Explanation of Payment" (EOP) documentation
EOP Payment Codes
Descriptions of EOP Payment Codes
Find a Provider
Locate a doctor or specialist using our online health care provider directory
Frequently Asked NPI Questions
Frequently Asked NPI Questions
HealthCare Advisor
Locate hospitals and review hospital performance reports
Member Search
Verify a patient's HealthPlus membership online
Non-Contracted Providers
General Questions/Inquiries / Reimbursement / How to become a Contracted HealthPlus Provider
Provider Manual
Contains instructions on how to utilize our services and pertinent policy and resource information!
Provider Service Center
View menus of our full range of secure online services
Referral Inquiry
Check on the status of your HealthPlus referrals
Clear Claim Connection
Provider Report Portal Help (PNG: 51k)
Report Portal Help Doc
Red Flag Rules
The Fair and Accurate Credit Transaction Act Red Flag Rules are a product of the Fair and Accurate Credit Transaction Act (FACTA), which President Bush signed into law in December 2003.
Provider Service Center
Provider Resources
Appeal Process
Benefit Level Grids
Claim Inquiry
Claims Adjustment Form [pdf]
Claims Adjustment Online Submission
Claim Submission Guidelines
County Health Plans
EOP Inquiry
Find a Provider
Frequently Asked NPI Questions
HealthCare Advisor
Member Search
Provider Manual
Provider Service Center
Referral Inquiry
Provider Newsletters
Pharmacy Center
Ask for 90 Rx Program
Mail Service Prescriptions
Drug Formularies
Pharmacy Step Therapy-Prior Authorization
Specialty Pharmacy Program
Epocrates Rx Download
Imaging Mgmt Program
Prior Auth High Tech Radiology Services
Imaging Management Program Forms
Program Contact Information
CPT Code Change-Out Form
In Office Physician Imaging
Privileging by Specialty
Non ARRT Application
Free Standing Radiology Facility
Program Updates
CareCore National
Medical Case Management
Patient Mgmt Resources
Clinical Practice Guidelines
Disease Management Programs
Health & Lifestyle Programs
Preventive Health Guidelines
Provider Toolkit
Flu News and Information
Quality & Safety
Patient Safety
Quality Improvement Program
Provider Grievance Procedure
Forms & Downloads
Claims Adjustment Form
County Health Plans
DME Bulletins & Guidelines
Medical Record Forms
Provider Login Access Form
Provider Manual
Provider Service Center Manual
Referral Submission Guide
HealthySolution Treatment Plan Form
Quicklinks
Information on the CMS 1500
National Uniform Billing Committee UB-04
Where to obtain a NPI
H1N1 Vaccine Provider Toolkit
How To Become An H1N1 Vaccine Provider
Flu News and Information
Frequently Asked NPI Questions
Influenza Billing Codes
Pharmacy Step Therapy-Prior Authorization Form
ProviderPlus Newsletters
Read the most current issue of ProviderPlus!
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