Delaware First Health provides a comprehensive Provider Portal designed to streamline healthcare administration and enhance provider interactions. This secure online platform offers healthcare professionals a centralized system for managing patient information, claims, and essential administrative tasks.
Official Links
- Provider Portal: https://www.delawarefirsthealth.com/providers/login.html
- Provider Resources: https://www.delawarefirsthealth.com/providers.html
What is the Delaware First Health Provider Portal?
The Delaware First Health Provider Portal is a robust digital platform that enables contracted healthcare providers to efficiently manage multiple aspects of their professional responsibilities. It serves as a comprehensive tool for:
- Verifying member eligibility
- Submitting and tracking claims
- Managing patient authorizations
- Accessing detailed patient lists
Who Can Use the Portal?
The portal is specifically designed for:
- Contracted Delaware First Health providers
- Healthcare professionals in Medicaid, Medicare, and Marketplace networks
- Both contracted and non-contracted providers (with certain access limitations)
How to Access the Portal
Registration Process
- Visit the Delaware First Health Provider Portal login page
- Click on “login/register”
- For contracted providers: Create an account directly
- For non-contracted providers: Register after submitting the first claim
Key Features and Services
Portal Capabilities
Providers can perform critical tasks such as:
- Real-time member eligibility verification
- Claims management
- Authorization submissions
- Patient list management
Privacy and Security
Delaware First Health emphasizes:
- Secure online access
- Confidential information handling
- Compliance with healthcare data protection standards
Customer Support
Providers can contact Provider Services at:
- Phone: 1-877-236-1341
- Hours: Monday-Friday, 8am-7pm EST
- TTY: 711
Additional Resources
Provider Engagement
- Assigned Provider Engagement Account Manager (PEAM)
- Territory-specific account management
- Comprehensive provider communication channels
Communication and Updates
Delaware First Health offers:
- Dedicated Provider Communications page
- Email update subscriptions
- Important announcements and resources
Network Opportunities
Providers can join networks for:
- Medicaid (Delaware First Health)
- Health Insurance Marketplace (Ambetter)
- Medicare/DSNP (Wellcare)
Network Joining Process
- Complete online Contract Request Form
- Review network-specific requirements
Unprovided Information
Some specific details were not explicitly available in the source documents, such as:
- Exact portal login URL
- Comprehensive app download instructions
- Detailed security protocol specifics
The Delaware First Health Provider Portal represents a sophisticated, user-friendly platform designed to simplify healthcare administrative processes and improve provider-patient interactions.
Contact Information
- Member Services: 1-877-236-1341
- TTY: 711
- Operating Hours: Monday-Friday, 8am-7pm EST
Note: Always refer to the official Delaware First Health website for the most current and accurate information.
FAQ
Is Delaware First Health Medicaid?
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Delaware First Healthhttps://www.delawarefirsthealth.comAbout Us – Delaware First HealthDelaware First Health is a Medicaid health plan and a wholly-owned subsidiary of Centene Corporation.
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Centene Careershttps://jobs.centene.comDelaware First Health | CenteneDelaware First Health, a Medicaid Managed Care insurance plan, provides healthcare services through focused, compassionate and coordinated care.
Are First health and Aetna the same company?While First Health is an owned subsidiary of Aetna Inc., it is not an insurance company, operating independently of its parent company. Instead, they connect members with a huge network of health care providers, who offer their services at a discounted rate.
What insurance is First health through?The parent company of First Health Network is Aetna Inc., which is a part of CVS Health. First Health operates independently but aligns with the core values and standards of its parent company.
What are the three Medicaid plans in Delaware?Delaware contracts with three managed care plans – AmeriHealth Caritas, Delaware First Health and Highmark Health Options.
https://www.delawarefirsthealth.com/providers/login.html
Provider Portal · Verify member eligibility · Submit and check claims · Submit and confirm authorizations · View detailed patient list.
https://www.delawarefirsthealth.com/providers.html
Once you have created an account, you can use the Delaware First Health provider portal to: Verify Member Eligibility; Manage Claims; Manager Authorizations