Network Health’s Provider Portal represents a critical digital platform designed to streamline communication, enhance operational efficiency, and support healthcare providers in delivering optimal patient care. This comprehensive online tool offers registered providers quick and secure access to essential patient and administrative resources.
Official Links
What is the Provider Portal?
The Provider Portal is a robust online system that enables healthcare professionals to:
- View patient eligibility information
- Check claim submission status
- Submit online authorizations
- Access critical patient documentation
- Manage administrative tasks efficiently
Who Can Use the Portal?
The portal is available for:
- Contracted providers
- Non-contracted providers
- Medical professionals across various specialties
Registration Process
Providers can sign up through the official website, with registration now available for both contracted and non-contracted healthcare professionals.
Key Portal Features
Patient Information Management
- Real-time patient eligibility verification
- Comprehensive patient record access
- Streamlined documentation management
Claims and Authorizations
- Online claims submission
- Claims status tracking
- Quick authorization request processing
- Integration with systems like iExchange, eviCore, and ESI Care Continuum
Access and Security
Login Requirements
- Registered provider credentials
- Secure authentication process
- Role-based access controls
Privacy Safeguards
- Compliance with federal and state regulatory requirements
- Protected health information (PHI) security protocols
- Regular system security updates
Provider Support
Dedicated Support Resources
- Designated provider operations manager
- Microsoft Teams support
- Phone and in-person consultation options
- Assistance with:
- Contract-related questions
- Claims and payment issues
- Provider portal training
Additional Resources
Newsletters and Updates
Network Health offers multiple informative newsletters:
- “The Pulse” – Operational updates
- “The Consult” – Bimonthly care gap and quality initiatives
- “The Script” – Pharmacy-related news
Unprovided Information
While the available documentation provides comprehensive portal details, specific mobile app download instructions were not explicitly mentioned in the source materials.
Network Health’s Provider Portal represents a sophisticated, secure digital platform designed to empower healthcare professionals with efficient, user-friendly tools for patient management and administrative tasks.
Contact Information
For specific inquiries, providers are encouraged to use the official contact channels provided on the Network Health website.
Note: Portal features and access may be subject to updates. Always refer to the most current official documentation.
FAQ
How to know if a health provider is in a network?You can also call the insurance company’s customer service phone number to find out if your providers are in the plan’s network.
Is Health Net the same as UnitedHealthcare?In July 2009, UnitedHealth Group bought Health Net’s northeastern licensed subsidiaries for $510 million, and its Medicare and Medicaid businesses for $60 million.
What kind of insurance is a network health plan?The definition of a network plan varies slightly by state, but they’re defined by the network. “Network” comes from the large group of physicians, hospitals, and other health care providers that have agreed to provide medical services to a health insurance plan’s members at a contracted rate.
Who bought Network Health?Froedtert Health to acquire sole ownership of Network Health. Milwaukee — Froedtert Health and Ascension Wisconsin have signed an agreement that will allow Froedtert Health to purchase Ascension Wisconsin’s interest in Network Health, a provider of customized commercial and Medicare health insurance plans.
https://www.healthnet.com/content/healthnet/en_us/providers.html
Providers: Log in or register for a Health Net account, view plans, access plan resources, sign-up for specific training and more.
https://networkhealth.com/provider-resources/index
Provider Portal Access. Registered providers have access to view patient eligibility, check status of claims, submit online authorizations and more.