Healthfirst Provider Portal: Secure Access for Healthcare Providers

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Healthfirst offers providers a comprehensive digital platform designed to streamline practice management and enhance patient care delivery. The Provider Portal serves as a centralized digital hub for healthcare professionals to access critical tools, resources, and information.

Official Links

What Providers Can Do

The Healthfirst Provider Portal enables healthcare professionals to:

  • Manage practice-related administrative tasks
  • Access critical healthcare tools
  • Participate in continuing medical education programs
  • Stay updated on important healthcare regulations and compliance requirements

Key Features

Provider Education and Resources

Healthfirst provides multiple resources through the portal:

  • Provider Education Events: Continuing medical education programs
  • Webinars: Informative sessions with healthcare industry leaders
  • Compliance Training: Mandatory annual training and certification programs

Portal Sections

The portal includes comprehensive sections covering:

  • Provider Alerts
  • Coding Resources
  • Education Events
  • Quality Program Resources
  • Pharmacy Resources
  • Claims & Billing Information
  • Compliance and Regulatory Policies

New Platform: Availity Essentials

As of July 2025, Healthfirst has transitioned to Availity Essentials, a new provider portal designed to:

  • Simplify provider interactions
  • Enhance user experience
  • Provide more streamlined access to essential tools

Recent Important Updates

2025 Compliance Requirements

  • Mandatory annual compliance training
  • Certification process for providers

Regulatory Notices

  • U.S. Department of Justice regulations on sensitive personal data
  • Updates to concurrent review for specific treatment services

Access and Login

While specific login details are not explicitly provided, providers can:

  • Access the portal through the Healthfirst website
  • Use Availity Essentials for enhanced functionality
  • Potential requirement for professional credentials

Privacy and Security

Healthfirst emphasizes:

  • Commitment to maintaining an ethical work environment
  • Protection of provider and member information
  • Compliance with regulatory standards

Support and Resources

Providers can:

  • Access 220+ education and patient care resources
  • Review 196 provider alerts
  • Utilize 112 claims and billing resources

Unprovided Information

Some specific details not available in the source document include:

  • Exact login process
  • Detailed registration steps
  • Comprehensive app download instructions

The Healthfirst Provider Portal represents a robust digital platform empowering healthcare providers with comprehensive tools, resources, and up-to-date information to deliver exceptional patient care.

Note: Always refer to the official Healthfirst website for the most current and accurate information about the Provider Portal.

FAQ

Is Healthfirst New York Medicaid?

AI Overview
    • Healthfirst
      https://healthfirst.org
      NY Medicaid Managed Care Plan – Healthfirst
      Is Healthfirst Medicaid or Medicare? Both! Healthfirst offers health plans for all ages, needs, and incomes, including: Medicare Advantage Plans.

    • Healthfirst
      https://healthfirst.org
      NY Health Insurance Information | Healthfirst

    • Healthfirst
      https://healthfirst.org
      NY Individual & Family Health Insurance Plans | Healthfirst

    • Healthfirst
      https://healthfirst.org
      New York Health Insurance FAQs | Healthfirst

Is Healthfirst and Medicaid the same thing?Healthfirst at a Glance – Signature (HMO)

The plan is designed for individuals who don’t qualify for programs that help pay Medicare costs, like Extra Help or Medicaid.

What are the benefits of using the Healthfirst provider portal?Your provider portal enables you to verify member eligibility, review authorization requirements, set up electronic payments, and more. Before accessing these features, we need you set up an account on the portal. Then we’ll have you go through a verification process to ensure member privacy.

Is Healthfirst the same as Aetna?Those are two separate networks, but Aetna the company owns both. If you are using First Health, you likely have a Third Party Administrator (TPA) actually running your plan instead of them. Another possibility is stacked networks, where your plan uses First Health to cover people outside it’s main service area.

https://hfproviderportal.org/v3app/a/?6713520D04184E041C0D022C0D140C1C130C11166E1E0A300C0B18584A1F4E2F0C0F42151B110C563B217817410B0D5840451120455360015D56504847102D574C58175059590B580D2143505F5A5D03134325175D6E5240590D43004221011951444E12111B1907260B0E0D534052104620475C36560456445010187048555E4D0B4C150A595D680B06580F0354404472145D3640520A4F17164521175C5D52001907000853032D5E5E2D242033300236261451545E5D5242137F54522D442B27305A2A5903575F5958245C4543/

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https://hfproviders.org/

Access Healthfirst tools through Availity Essentials, our new provider portal designed to help make your work with us easier. See our July 2025 updates. See

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