The Driscoll Health Plan Provider Portal is a comprehensive online platform designed to streamline communication and service delivery for healthcare providers. This digital resource offers a centralized hub for managing patient-related tasks, claims, and administrative processes efficiently.
Official Links
- Provider Portal: https://driscollhealthplan.com/for-providers/provider-portal/
- Provider Resources: https://driscollhealthplan.com/for-providers/
What Healthcare Providers Can Do
The Provider Portal offers multiple critical functionalities for healthcare professionals:
Key Portal Features
- Submit and track prior authorization requests
- Access prior authorization requirements
- Check authorization status
- Submit claim appeals
- Manage provider credentials
- Access provider resources and documentation
Access and Sign-Up Process
Provider Portal Sign-Up
Providers can gain exclusive access by:
- Downloading the Provider Portal Sign-Up form (PDF)
- Completing the form
- Submitting for portal access
Credential Requirements
- Must be enrolled in Texas Medicaid
- Have an active National Provider Identifier (NPI)
- Complete credentialing application on CAQH or Availity
Support and Contact Information
Provider Services
- Nueces Service Area: 1-877-324-3627
- Hidalgo Service Area: 1-855-425-3247
- Provider Relations Main Line: 1-956-632-8308
Claims and Complaints
- Claims Appeals Methods:
- DHP Provider Portal
- Email: [email protected]
- Fax: 1-361-808-2776
- Mail: Driscoll Health Plan, ATTN: Claims Appeal Department, PO Box 3668, Corpus Christi, TX 78463-3668
Privacy and Security
Driscoll Health Plan emphasizes:
- Secure online access
- Protection of provider and patient information
- Compliance with healthcare data regulations
Additional Resources
Provider Resources Include:
- Clinical guidelines
- Toolkits
- Educational materials
- Cultural competency resources
- Electronic Data Interchange (EDI) resources
Unprovided Information
While the available documentation provides comprehensive details, specific information about mobile app availability was not explicitly mentioned in the source materials.
Recommended Next Steps
- Download the Provider Portal Sign-Up form
- Ensure Texas Medicaid enrollment
- Prepare NPI and credentialing documentation
- Contact Provider Relations for specific queries
The Driscoll Health Plan Provider Portal represents a robust, user-friendly platform designed to enhance provider efficiency and streamline healthcare administrative processes.
Contact Information:
- Phone: 1-877-324-7543
- Address: 4525 Ayers Street, Corpus Christi, TX 78415
Note: Always verify the most current information directly with Driscoll Health Plan.
https://driscollhealthplan.com/for-providers/provider-portal/
Please log in to your portal using the below link. To gain exclusive access for your staff, download and complete the Provider Portal Sign-Up form.
https://driscollhealthplan.com/for-providers/
Provider Portal. Please log in to your portal using the below link. To gain exclusive access for your staff, download and complete the Provider Portal Sign-Up