American Health Advantage of Texas offers a comprehensive provider portal designed to streamline administrative processes and enhance care coordination for healthcare professionals. This portal serves as a critical tool for network providers to manage patient interactions, access important resources, and maintain efficient communication with the health plan.
Official Links
- Provider Portal: https://tx.amhealthplans.com/providers-and-partners/
- Login Page: https://amhealthplans.com/login/
Portal Features for Healthcare Providers
Key Functionalities
The American Health Advantage of Texas provider portal provides network providers with essential tools and resources, including:
- Access to provider materials
- Provider directory search
- Prior authorization request submissions
- Claims and billing management
- Prescription drug benefit information
Who Can Use the Portal
The portal is exclusively available to:
- Contracted healthcare providers
- Physicians
- Facilities
- Allied healthcare professionals
- Prescribers and pharmacies
Access and Authentication
Login Requirements
Providers must:
- Have a valid contract with American Health Advantage of Texas
- Complete credentialing process
- Obtain network credentials
Contact for Access
For portal access and support:
- Phone: 1-855-521-0628
- TTY: 1-833-312-0046
- Email: [email protected]
Specialized Resources
Prescription Drug Management
Providers can:
- Access formulary information
- Submit prior authorization forms
- Use MedImpact pharmacy helpdesk (1-833-478-6370)
Compliance and Training
The portal supports:
- Medicare Fraud, Waste, and Abuse (FWA) training
- Model of Care training
- Compliance documentation
Security and Compliance
Key Compliance Features
- Adherence to CMS regulations
- Secure data transmission
- Annual compliance training requirements
- Confidential reporting mechanisms
Compliance Hotline
- Toll-free: 1-866-205-2866
- Email: [email protected]
Provider Support Resources
Available Materials
- Provider Manual
- Facility Billing Guide
- Clinical Guidelines
- Prior Authorization Forms
- Provider Tip Sheets
Contact Information
Provider Support
- Main Phone: 1-855-521-0628
- TTY: 1-833-312-0046
- Hours: 8:00 a.m. to 8:00 p.m.
Mailing Address
American Health Advantage of Texas
201 Jordan Road, Suite 200
Franklin, TN 37067
Unspecified Information
Some portal-specific details were not explicitly provided in the source documents, such as:
- Exact login process screenshots
- Detailed user interface description
- Mobile app availability
The American Health Advantage of Texas provider portal represents a comprehensive digital platform designed to support healthcare professionals in delivering efficient, coordinated patient care while maintaining strict compliance with Medicare regulations.
Disclaimer: Information current as of January 10, 2025, based on available documentation.
FAQ
Is American health Advantage a Medicare Advantage plan?American Health Advantage of Texas is a Medicare Advantage (ISNP) plan available to nursing home residents in Texas.
Is health Advantage a Medicare plan?Medicare Advantage Plan (Part C)
A type of Medicare-approved health plan from a private company that you can choose to cover most of your Part A and Part B benefits instead of Original Medicare.
How to check if your health insurance is active online free USA?
- Log into your Marketplace account.
- Select your completed application under “Your applications.”
- Select “My Plans & Programs” to find which plan(s) you’re enrolled in and when your coverage started.
How good is American health insurance?US Health Care System Ranks Last Overall Among Other High-Income Countries. The US health care system is underperforming despite high spending, and reform is needed in areas like insurance coverage, primary care, and equity to improve overall health outcomes and efficiency.
https://amhealthplans.com/login/
Login · Welcome back!
https://tx.amhealthplans.com/providers-and-partners/
Select “Pharmacies” and click “Pharmacies Login”; Enter your NPI number and NCPDP number to access the pharmacy portal. MedImpact Pharmacy