Network Health’s Provider Portal represents a critical digital platform designed to streamline communication, enhance operational efficiency, and support healthcare providers in delivering optimal patient care. This comprehensive online tool offers medical professionals direct access to essential administrative and clinical resources.
Official Links
- Provider Resources: https://networkhealth.com/provider-resources/index
- Provider Portal Login: https://login.networkhealth.com/auth/signin
What Providers Can Do
The Network Health Provider Portal enables healthcare professionals to:
- View patient eligibility information
- Check claim submission status
- Submit online authorizations
- Access medical records
- Manage risk adjustment documentation
Who Can Use the Portal
The portal is available for:
- Contracted providers
- Non-contracted providers
- Medical professionals across various specialties
Access and Login
Registration Process
- Providers must complete an online registration
- Both contracted and non-contracted providers can sign up
- Use Chrome, Firefox, Edge, or Safari browsers for optimal experience
Login Support
- Local member experience team: 800-769-3186
- General contact: 800-826-0940
Key Features and Services
Authorization Management
Network Health utilizes advanced online authorization systems:
- iExchange
- eviCore
- ESI Care Continuum
Claims Processing
- Initial claim submission optimization
- Appeal and dispute process resources
- Provider payment options
Additional Resources
- Provider newsletters
- Clinical practice guidelines
- Quality measure information
- Pharmacy information
- Credentialing resources
Privacy and Security
Network Health emphasizes:
- Compliance with federal and state regulatory requirements
- Fraud, waste, and abuse prevention
- Secure data management protocols
Provider Support
Dedicated Support
Each provider is assigned a designated provider operations manager who:
- Answers contract-related questions
- Resolves provider appeals and disputes
- Provides claims and payment issue support
- Offers portal training
- Facilitates in-person and virtual (Microsoft Teams) consultations
Billing and Payments
While specific billing details are not comprehensively outlined, the portal provides:
- Claims submission tools
- Payment option information
- Resources for financial management
Unprovided Information
Some specific details not explicitly covered in the source documents include:
- Exact registration steps
- Detailed password requirements
- Comprehensive app download instructions
The Network Health Provider Portal serves as a robust, user-friendly platform designed to enhance provider efficiency, streamline administrative processes, and ultimately support high-quality patient care.
Contact Information
- Provider Support: Designated Provider Operations Manager
- General Contact: 800-826-0940
- Member Experience Team: 800-769-3186
Note: Always verify the most current information directly with Network Health, as portal features and contact details may change.
FAQ
What kind of insurance is a network health plan?The definition of a network plan varies slightly by state, but they’re defined by the network. “Network” comes from the large group of physicians, hospitals, and other health care providers that have agreed to provide medical services to a health insurance plan’s members at a contracted rate.
How to know if a health provider is in a network?You can also call the insurance company’s customer service phone number to find out if your providers are in the plan’s network.
Who bought Network Health?Froedtert Health to acquire sole ownership of Network Health. Milwaukee — Froedtert Health and Ascension Wisconsin have signed an agreement that will allow Froedtert Health to purchase Ascension Wisconsin’s interest in Network Health, a provider of customized commercial and Medicare health insurance plans.
How to check network health?Network health monitoring involves collecting a diverse set of data to gain a comprehensive view of the network’s condition. Here are the types of data typically collected: Performance Metrics: Metrics like response time, throughput, and error rates provide insights into how well the network is performing.
https://login.networkhealth.com/
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https://networkhealth.com/provider-resources/index
Provider Portal Access. Registered providers have access to view patient eligibility, check status of claims, submit online authorizations and more.