The Gold Kidney Health Plan Provider Portal is a comprehensive digital platform designed to streamline communication, claims management, and patient care coordination for healthcare providers. This powerful tool offers healthcare professionals a centralized system to manage critical administrative and clinical tasks efficiently.
Official Links
- Provider Portal: https://goldkidney.com/providers/
- Provider Relations Contact: [email protected]
What Providers Can Do in the Portal
Healthcare providers can leverage the Gold Kidney Health Plan Provider Portal to:
- Verify patient eligibility
- Check claims status
- Access authorization details
- Coordinate patient care
- Submit electronic claims through Availity
- Access important resources and forms
Access and Login
While specific login details are not explicitly provided on the website, providers can:
- Access the portal through the Gold Kidney Health website
- Click on the “Login to Portal” button
- Contact Provider Relations at (844) 294-6535 for login assistance
Key Features
Patient Eligibility and Authorization
- Verify patient coverage in Gold Kidney Health Plan’s service areas
- No written referrals required for specific specialties:
- Cardiology
- Cardiovascular surgery
- Endocrinology
- Nephrology
Claims and Payments
- Electronic claims submission via Availity
- Electronic Funds Transfer (EFT) through Zelis
- Streamlined reimbursement process
- Reduced administrative expenses
Resources and Support
- Provider directory search
- Covered drugs and formulary information
- Pharmacy network search
- Model of Care Training
- Comprehensive resource guides
Privacy and Security
Gold Kidney Health Plan emphasizes:
- Patient data protection
- Compliance with healthcare regulations
- Secure electronic systems
Customer Support
Contact Options:
- Phone: (844) 294-6535
- Email: [email protected]
- Hours: Monday-Friday, 8am-8pm local time
Billing and Payments
The portal facilitates:
- Electronic claims submission
- Quick reimbursement cycles
- Transparent payment tracking
Unprovided Information
The following details were not explicitly specified in the source documents:
- Exact portal login process
- Specific security protocols
- Detailed step-by-step navigation instructions
Network and Eligibility
Network Coverage
- Extensive healthcare provider network
- Focuses on Florida-based providers
- Supports patients with chronic conditions
Patient Eligibility
- Covers patients in specific service areas
- Supports Medicare Advantage plans
- Special focus on:
- End-Stage Kidney Disease (ESKD)
- Diabetes
- Cardiovascular conditions
- Chronic heart failure
The Gold Kidney Health Plan Provider Portal represents a robust, user-friendly platform designed to enhance healthcare provider efficiency, streamline administrative processes, and ultimately improve patient care coordination.
Disclaimer: Information based on Gold Kidney Health Plan website as of August 2025.
FAQ
What type of insurance is a gold kidney health plan?Gold Kidney is a specialized Medicare Advantage organization offering a range of Medicare Advantage plans, including Special Needs Plans. These plans are designed to cater specifically to individuals with unique healthcare needs.
What is the phone number for gold kidney provider relations?Provider Directory
To request a printed directory, please contact Member Services at (844) 294-6535 (TTY 711).
In which two states are gold kidney health plans available?Gold Kidney currently holds insurance licenses in Arizona and Florida with a Medicare contract from CMS (Centers for Medicare and Medicaid Services). Gold Kidney’s patient-centric care approach integrates payor, provider, and care management technology to improve patient outcomes.
What is the payer ID for Gold Kidney of Florida?Claims & Payments
Gold Kidney offers electronic claims submission through Availity; Availity payer ID: A6865. We offer Electronic Funds Transfer through Zelis. This shortens the reimbursement cycle and streamlines the entire workflow.
https://healthsoft.goldkidney.com/providerportal/?_gl=1*1ktmmp3*_gcl_au*Nzg4MTU0ODQyLjE3MTc2ODU5MDcuMTEyODU4OTU5LjE3MjM4MzE3OTUuMTcyMzgzMTgwNw..*_ga*Mzc1OTUwNzk1LjE2OTgyNTgzNzY.*_ga_V7J1M0X88E*MTcyNDkzODc3MS4yNTAuMS4xNzI0OTQ3MzUxLjQ1LjAuMA..
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https://goldkidney.com/providers/
With the Gold Kidney member portal, easily access claims status and verify eligibility and authorization details for your patients in a single tool for