Your partners in patient care

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How can we help?

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Join our network
Expand your practice and simplify reimbursements
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Prior Authorization
Optimize care with seamless insurance integration
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Recent Bulletins
See the latest announcements & updates from our team
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Provider Manual
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NEWS & UPDATES

Even more you can do in Availity

We are pleased to announce that our claims clearinghouse, Availity, is online and accepting submission of electronic claims. We recommend notifying your clearinghouse that Availity now hosts our payer ID.

Better support. Better payments. Better care.

We make it easy for providers to focus on patients, not paperwork.

We're in it for the long haul

We use a patient-centered model of care to improve the health of Mainers — and beyond.

Local care management

Our team is focused on finding local resources to support Member care.

Value over volume

We work closely with providers to give Members cost-effective & high-quality care.

Service & communication

From outreach to credentialing, the Provider Experience team is your trusted resource.

We're always improving

The work is never done when it comes to improving patient-provider communication.

Your feedback matters to us

We value you as a collaborative partner and listen to your feedback to always improve.

Provider FAQS: your questions, answered

How do I join a health insurance provider network?

To join our health insurance provider network, you’ll need to complete the Provider Network Request Form, submit required credentialing forms, complete CAQH Application and sign a provider agreement. Our streamlined process ensures fast verification and onboarding, so you can start seeing new patients and processing claims efficiently. Start Contracting Process today.

What are the benefits of being an in-network provider?

Becoming an in-network provider gives you access to more patients, faster reimbursements, and simplified claims processing. You'll also benefit from competitive reimbursement rates, dedicated provider support, and seamless digital tools that help you manage your practice more efficiently.

How do I update my provider information (address, NPI, etc.)?

Keeping your provider information current ensures accurate claims processing and patient referrals by completing this Provider Network form and submitting to Data Integrity Department.

How do I resolve claim denials or payment issues?

If a claim is denied or you’re experiencing payment issues, our provider support team is here to help. Common reasons for claim denials include incorrect coding, missing documentation, or eligibility issues. You can obtain the Reconsideration and Appeal forms on the portal and send them in via the email address on the forms. 

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