The Peak Health Provider Portal is a comprehensive digital platform designed to streamline healthcare provider interactions, offering efficient management of claims, benefits, and essential resources. This portal serves as a centralized hub for providers within Peak Health’s service area, which includes West Virginia, Ohio, Pennsylvania, Kentucky, Virginia, and Maryland.
Official Links
- Peak Health Provider Portal: Provider Portal Access
- Peak Health Provider Page: Peak Provider Resources
What Providers Can Do
The Peak Health Provider Portal enables healthcare professionals to:
- Access claims information
- Review benefit details
- Manage provider account information
- Submit necessary forms and resources
- Navigate provider policies
- Process prior authorizations
Who Can Use the Portal
Healthcare providers within Peak Health’s service regions, including:
- Medical doctors
- Certified nurse practitioners
- Physician assistants
- Physical therapists
- Licensed professional clinical counselors
- Facilities such as hospitals, skilled nursing centers, and rehabilitation centers
Access and Login
While specific login details are not fully elaborated in the provided documentation, providers can access the portal through the official link with their credentials.
Features and Services
Provider Resources
- Provider Manuals
- Provider Forms
- Policy Guidelines
- Network Management Tools
Additional Capabilities
- Facility change requests
- Adding new providers to existing groups
- Practitioner information updates
Privacy and Security
Peak Health emphasizes:
- Compliance with federal civil rights laws
- Non-discrimination policies
- Commitment to effective communication
Customer Support
Provider Service Contact
- Phone: +1-833-9-MYPEAK
- Email: [email protected]
- Hours: Monday–Friday, 8am–5pm
Billing and Payments
Specific billing portal functionalities are not detailed in the provided documentation.
Unprovided Information
The following details were not explicitly available in the source materials:
- Exact login process
- Detailed step-by-step portal navigation
- Specific billing or payment portal features
Important Notes
- Peak Advantage is a Medicare Advantage PPO plan
- Operated by Peak Health Insurance Corporation
- Licensed in multiple states including West Virginia, Pennsylvania, and Kentucky
The Peak Health Provider Portal offers a robust, secure platform for healthcare providers to manage their professional interactions efficiently. By centralizing resources and providing comprehensive tools, Peak Health supports seamless healthcare provider operations.
Disclaimer: Information is current as of the source documentation and may be subject to updates.
FAQ
How do I contact peak health insurance?If you have any questions, please contact Peak Health Provider Service at 1-833-9-MYPEAK (1-833-969-7325) Monday through Friday 8:00am to 5:00pm ET, excluding holidays.
Is WebTPA under Cigna?Please note, WebTPA is the Plan’s Third-Party Administrator (TPA). Cigna is the Preferred Provider Organization (PPO) that the Ascend to Wholeness Healthcare Plans utilize. They are NOT our ‘insurance’. If you have any questions, please call Member Services at (888) 276-4732.
Is Peak Health Momentum a real company?Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. We are owned by three not-for-profit health care providers, WVU Health System, Marshall Health Network, and Valley Health.
What is the peak health payer ID?
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Peak Healthhttps://peakhealth.orgDear Provider, Availity is the Peak Health designated Clearinghouse …The Peak Health Payer ID is PEAK0.
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Peak Healthhttps://peakhealth.orgPeak Health Electronic Data Interchange (EDI)Jan 1, 2023 — Effective January 1st, 2023, Peak Health supports the ability to submit claims electronically. via their clearinghouse, Olive AI. To submit electroni…
https://peakhealth.org/peak-provider/
Conveniently access information on claims and benefits through our Provider Portal. Provider Manuals Explore more details and guidelines within our Provider
https://ezdev.cognify.com/EZ-NET60/Login.aspx
Welcome to the PeakTPA provider portal for medical and institutional providers who bill the following health plans: ArchCare; CHS Buffalo; Complete