When new physicians join a practice location, we recommend beginning the credentialing process as soon as possible to avoid delays. This will minimize disruptions to the practice and Members’ claims. You can help the process run smoothly by doing the following:
Questions about credentialing should be submitted to firstname.lastname@example.org.
Health Options Paper Claims Policy
Our Provider Relations team frequently responds to questions about Health Options’ Paper Claims Policy. You can access a copy of that policy here.
Itemized Bill Submission Reminder
Institutional inpatient and outpatient claims of $20,000 or more must include an itemized bill to be considered for payment. You can avoid processing delays by emailing the itemized bill to email@example.com on the same day the associated claim is submitted. We may also request itemized bills on claims identified for further review. The Itemized Bill Submission Policy is available here.
For additional information on these, or other guidelines and policies, contact Health Options’ Provider Relations Team at (207) 402-3347.
Group Administrators can now rely on our Group Administrator Portal User Guide for help with employer portal functionality. It contains instructions for setting up a portal account, managing employee enrollment, and viewing and paying invoices online. You can access the guide at https://healthoptions.org/mediapath/brokermarketing/brokerlinkedmedia/employerportaluserguide/. Please inform your Health Options employer groups about this document’s availability.