The Optimum HealthCare Provider Portal offers healthcare professionals a comprehensive digital platform designed to streamline administrative tasks, enhance patient care, and improve overall practice management. This robust online tool provides critical resources and efficient access to essential healthcare information.
Official Links
- Tools & Resources Page
- Provider Portal: HealthAxis Provider Portal 3.0
What Healthcare Providers Can Do
The Optimum HealthCare Provider Portal empowers healthcare professionals with multiple critical functionalities:
Key Portal Features
- Access Medicare Quick Reference Guide
- Review MRA (Risk Adjustment) Scores
- Submit Case/Disease Management Referrals
- Access Cultural Competence Resources
- Utilize Compliance Training Materials
- Submit and Track Claims
- Review Clinical Practice Guidelines
Portal Access Details
Login Information
- Platform: HealthAxis Provider Portal 3.0
- Quick Reference Guide Available: Yes
User Eligibility
- Healthcare providers serving Optimum HealthCare’s Florida service counties
- Providers in network with Optimum HealthCare
Security and Compliance
Optimum HealthCare prioritizes data protection through:
- HIPAA Compliance
- Secure Provider/Vendor Training Management System
- Mandatory CMS Compliance Attestation
Support and Contact Information
Customer Support
- Toll-Free Number: 1-866-245-5360
- TTY/TDD: 711
- Hours of Operation:
- October 1 – March 31: 7 days/week, 8 a.m. to 8 p.m. EST
- April 1 – September 30: Monday-Friday, 8 a.m. to 8 p.m. EST
Additional Resources
The portal provides access to:
- Prescription Drug Lists
- Pre-Certification Processes
- Member Disease Management Booklets
- Inpatient Readmissions Reimbursement Policy
Unspecified Portal Details
Some specific portal functionalities were not explicitly detailed in the available documentation, including:
- Exact login process
- Mobile app availability
- Specific claim submission procedures
Compliance and Non-Discrimination
Optimum HealthCare is committed to:
- Federal civil rights law compliance
- Non-discrimination across race, color, national origin, age, disability, and sex
The Optimum HealthCare Provider Portal represents a crucial digital tool for healthcare professionals, offering secure, comprehensive access to essential administrative and clinical resources.
Disclaimer
Information current as of 06/16/2025. Providers should verify specific details directly with Optimum HealthCare.
Contact for More Information
- Phone: 1-866-245-5360
- Mailing Address: P.O. Box 151137, Tampa, FL 33684
https://www.youroptimumhealthcare.com/provider/tools_and_resources
This section places critical practice resources at your fingertips. From health care to administrative tools, here you’ll find the information you need most.
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