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As a participating HealthPlus provider, you have an important role in delivering quality health care services to our members.
Provider Resources
Our Online Service Center allows HealthPlus providers to access referral and claims details, view enrollee lists and search for other health care providers online!
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Pharmacy Center
The Pharmacy section of the HealthPlus website will link you to information on pharmacy locations, mail-order prescription service, HealthPlus drug formularies and more.
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Imaging Management Program
HealthPlus has implemented an imaging management program for in-office and high-tech testing.
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Medical Case Management Program
The Medical Case Management program has two components: Complex Case Management (CCM) and Primary Case Management (PCM).
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Patient Management Resources
HealthPlus’ Medical Case Management program is a collaborative process of assessment, planning, facilitation and advocacy for patients.
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Quality & Safety
Our Quality Improvement program establishes a systematic approach for continuously monitoring, evaluating and improving the quality and safety of the care and service provided to members.
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Forms & Downloads
To help you support your HealthPlus patients, you can download and print most forms and documents you will need.
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Provider Service Center
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Claim Inquiry
Claims Adjustment Form [pdf]
Claims Adjustment Online Submission
Claim Submission Guidelines
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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
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HealthySolution Treatment Plan Form
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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
Patient Management
Learn about HealthPlus programs for your patients!
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