Keystone First Provider Portal: Secure Access for Healthcare Professionals

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The Keystone First Provider Portal is a comprehensive online platform designed to streamline healthcare management for providers serving Philadelphia and southeastern Pennsylvania. This digital tool offers healthcare professionals quick and efficient access to essential resources and patient management tools.

Official Links

What Providers Can Do

Healthcare professionals using the Keystone First Provider Portal can:

  • Access provider manual and forms
  • Lookup prior authorization requests
  • Find provider resources
  • Submit claims and manage billing
  • Sign up for email alerts
  • Access latest provider updates

How to Access the Portal

While specific login details are not explicitly outlined in the provided sources, providers can access the portal through:

  • NaviNet Provider Portal login
  • Contacting Provider Services at 1-800-521-6007

Key Features and Services

Provider Resources

  • Latest provider updates
  • Prior authorization lookup tool
  • Claims and billing management
  • Pharmacy services information

Specialized Support

  • Risk Adjustment Program
  • Provider Engagement Coordination
  • Retrospective chart review services

Privacy and Security

The portal emphasizes:

  • Compliance with privacy regulations
  • Secure access to sensitive healthcare information
  • Protection of member and provider data

Customer Support

Provider Support Contacts:

  • Phone: 1-800-521-6007
  • Email: Available for providers (specific email not disclosed)
  • Account Executive contact options

Recent Notable Updates

As of July 2025, providers should be aware of:

  • Public health emergency transition
  • Statewide Preferred Drug List changes
  • Updated medical provider claims filing instructions
  • Doula services availability

Additional Initiatives

Keystone First offers collaborative programs like:

  • Healthy Families, Safe Communities
  • Diabetes management programs
  • COVID-19 support resources

Unprovided Information

Details not explicitly available in the sources include:

  • Exact step-by-step login process
  • Specific app download instructions
  • Detailed portal navigation guide

The Keystone First Provider Portal represents a comprehensive digital solution for healthcare providers, offering streamlined access to critical resources and patient management tools.

Disclaimer

Information is current as of July 2025 and sourced directly from Keystone First’s official websites.

Contact

For the most up-to-date information, providers are encouraged to contact Keystone First Provider Services directly.

Keywords: keystone first provider portal, healthcare management, provider resources, secure access

FAQ

How do I contact Keystone First PA?Need more information? Go to www.dhs.pa.gov/PHE. You can also call us 24 hours a day, 7 days a week at 1-800-521-6860. For TTY, call 1-800-684-5505.

How many pairs of glasses does Keystone first cover?What are my eye care benefits? Members are eligible for 2 routine eye examinations every calendar year, or more often if medically necessary. * No referral is needed for routine eye exams. Members under 21 are also entitled to 2 pairs of prescription eyeglasses every 12 months, or more often if medically necessary.

What is the payer ID for Keystone First?Keystone First’s EDI payer ID number is 23284.

https://www.keystonefirstpa.com/provider

Public health emergency ending: What you need to know. As you know, the Pennsylvania Department of Human Services (DHS) was able to keep Medical Assistance

https://www.keystonefirstpa.com/

Our state-of-the-art Mobile Wellness and Opportunity Center will provide community services in easy-to-access locations at no cost to members.

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