Network Health is committed to empowering healthcare providers with efficient, streamlined tools to serve their patients effectively. The Provider Portal represents a critical digital platform designed to enhance communication, efficiency, and patient care management.
Official Links
- Provider Resources: https://networkhealth.com/provider-resources/index
- Provider Portal Login: https://login.networkhealth.com/auth/signin
What Providers Can Do
The Network Health Provider Portal offers comprehensive functionality to support healthcare professionals:
Key Portal Capabilities
- View patient eligibility information
- Check claim status
- Submit online authorizations
- Access patient-related documentation
- Manage administrative tasks efficiently
Access and Registration
Provider Eligibility
- Both contracted and non-contracted providers can register
- Designated provider operations manager assigned to each participating provider
Login Process
- Use Chrome, Firefox, Edge, or Safari browsers
- Requires official registration through Network Health’s system
Critical Portal Features
Authorization Management
Network Health utilizes advanced online authorization systems to optimize communication:
- iExchange
- eviCore
- ESI Care Continuum
Claims Processing
The portal supports:
- Initial claim submissions
- Claims tracking
- Appeal and dispute processes
- Provider payment options
Security and Compliance
Network Health prioritizes:
- Fraud prevention
- Waste reduction
- Compliance with federal and state regulatory requirements
- Secure data management
Support Resources
Contact Information
- Member Experience Team: 800-769-3186
- General Contact: 800-826-0940
Additional Support
- Designated provider operations manager
- Microsoft Teams support
- In-person and virtual consultation options
Quality and Integration
The portal supports quality healthcare delivery through:
- Clinical practice guideline access
- Quality measure tracking
- NCQA, HEDIS, and CAHPS resources
Training and Resources
Network Health provides:
- Provider portal navigation tutorials
- Orientation PowerPoint
- Regular training tools
- Bimonthly newsletters:
- “The Pulse”
- “The Consult”
- “The Script”
Unprovided Information
Some specific details were not available in the source documents, such as:
- Exact step-by-step registration process
- Detailed screen layouts
- Comprehensive feature list
The Network Health Provider Portal represents a robust, secure digital platform designed to streamline healthcare provider operations, enhance patient care, and support efficient administrative processes.
Disclaimer
Portal features and availability are subject to Network Health’s current offerings and may change. Providers should consult directly with Network Health for the most up-to-date information.
FAQ
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.
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.
How to check network health?Network health monitoring involves collecting a diverse set of data to gain a comprehensive view of the network’s condition. Here are the types of data typically collected: Performance Metrics: Metrics like response time, throughput, and error rates provide insights into how well the network is performing.
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.
https://login.networkhealth.com/
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