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
- Primary Provider Website: https://www.keystonefirstpa.com/provider
- Main Keystone First Website: https://www.keystonefirstpa.com/
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.