Elderplan’s Provider Portal represents a comprehensive digital platform designed to streamline healthcare provider interactions, minimize administrative complexities, and enhance patient care management. By offering robust online tools and resources, the portal supports healthcare professionals in delivering efficient and patient-centered services.
Official Links
- Primary Website: Elderplan For Providers
What Providers Can Do
The Elderplan Provider Web Portal offers multiple functionalities to support healthcare professionals:
Key Portal Features
- 24/7 online access
- Member eligibility verification
- Claims detail review
- Access to formularies
- Instant resource retrieval
Who Can Use the Portal
Healthcare providers participating in the Elderplan network, specifically:
- Primary Care Physicians
- Specialists
- Healthcare practice administrators
Accessing the Portal
Login Requirements
- Provider registration required
- Web-based portal access
- Dedicated Provider Service Representative support
Registration Process
Providers can register directly through the portal by clicking the designated registration link.
Privacy and Security
Elderplan emphasizes:
- Secure online environment
- Comprehensive data protection
- Compliance with healthcare privacy standards
Customer Support
Contact Information
- Phone: 1-800-353-3765
- TTY: 711
- Hours: 8 a.m. to 8 p.m., 7 days a week
Provider Services Advantages
Elderplan minimizes administrative challenges by:
- Performing accurate claims adjudication
- Eliminating routine referral requirements
- Assigning dedicated service representatives
- Facilitating personalized care management
Care Coordination Features
Care managers collaborate with:
- Doctors
- Nurses
- Patients with advanced chronic conditions
The goal is developing personalized health plans supporting optimal patient outcomes.
Pharmacy Support
Technical pharmacy assistance:
- Phone: 1-866-490-2102
- 24/7 availability
Service Area
Elderplan serves providers in multiple New York counties, including:
- Bronx
- Kings
- Nassau
- New York
- Queens
- And 12 additional counties
Technological Innovation
The web portal represents Elderplan’s commitment to:
- Technological advancement
- Provider convenience
- Streamlined healthcare delivery
Unprovided Information
While the available documentation offers comprehensive insights, specific details about:
- Exact portal interface
- Detailed registration steps
- Comprehensive feature list
may require direct contact with Elderplan’s Provider Services team.
The Elderplan Provider Portal delivers a robust, secure platform enabling healthcare providers to efficiently manage patient interactions, verify information, and coordinate care seamlessly.
Disclaimer
Portal access and features are subject to Elderplan’s current service agreements and may change periodically.
FAQ
Is Elderplan a medicare plan?At Elderplan, we understand that your health needs are unique, and your well-being is our priority. Our Medicare Advantage Plans have been created to provide comprehensive coverage and exceptional care for our members.
What is the payer ID for Elderplan?
What is the Elderplan OTC Flex spending benefit?Use your Flex card for out-of-pocket dental, hearing, vision, and fitness expenses. Your benefit is $500 annually. These dollars are in addition to the benefits you already receive from Elderplan. You can use your Flex card at any provider that accepts Visa.
What is timely filing for corrected claims Elderplan?DETAILS: Replacement claims (also known as corrected claims) are Electronic or Paper re-submissions with the intention of correcting or updating a previously submitted claim. Replacement claims must be submitted within timely filing limits (180 days from DOS or as contractually agreed upon).
https://www.elderplan.org/for-providers/
CLICK HERE to register for the Provider Web Portal today. To contact pharmacy technical help call 1-866-490-2102, 24 hours a day, 7 days a week. Questions?
https://epportal.mjhs.org/v3app/a/?6713520D04184E07101C1A2003140C1C130C11166E1E0A300A101A1F545C4D27020E1900460007191751270D5A120B5D5D14427211037A545D570D48471378044C5540095859505F0B725A05515E515044163C5416321713070A001A45751E035E115954115F0D43735A02584351544B426C4B006F064856515443197E5C5908100B05094F07163607005458515544447140216023545F592732187E5224294651534C2D585A065E56282F2721334471465062/&TO=y
New Users. Create an Account: To access information on Member’s Eligibility, Claims, Authorizations, Provider Directory and Training Materials.