Navigating the complex and competitive landscape of modern healthcare requires reliable partnerships and innovative solutions. For healthcare providers, leveraging the right network affiliations and tools can streamline operations, improve reimbursement processes, and enhance patient care. Claritev offers a comprehensive platform that supports providers through various services, resources, and technology-driven initiatives, ensuring they remain at the forefront of industry standards and patient satisfaction.
Online Services Facilitating Provider Operations
Our online portal provides a centralized hub for essential provider functions, simplifying administrative tasks and fostering efficient communication. Providers can verify their network participation, submit billing inquiries, and check the status of applications or requests with ease. Additionally, the portal allows access to client lists, the ability to request fee schedules, contracts, and rosters, and options to add providers to groups or update demographic details. These tools are designed to streamline workflows and reduce administrative burdens, ultimately allowing providers to focus more on patient care.
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Connecting with Our Networks and Checking Application Status
Claritev partners with a diverse range of payors, offering providers access to multiple patient populations and reimbursement options. Joining our networks means benefiting from contracted reimbursements, lower patient out-of-pocket expenses, and reduced risk of patient migration due to network coverage gaps. Our network onboarding process is straightforward—providers can check the status of their application online, ensuring transparency and efficiency in credentialing.
Providers already participating in Medicare Advantage or Medicaid networks can access tailored support and resources to optimize their participation. To get started, register for our portal training sessions or learn more about our offerings through our dedicated provider programs.
Essential Resources and Contractual Information
Our comprehensive handbooks serve as key references for providers, offering detailed guidance on topics such as reimbursement policies, credentialing procedures, and dispute resolution. Downloadable guides like the Claritev Provider Quick Reference help streamline administrative processes and clarify common questions. Additionally, state-mandated contract provisions are incorporated into our agreements, with updates reflecting recent legal changes. You can view the current [State Law Coordination Provisions (SLCP)] for your state to ensure compliance.
Providers can also access a variety of government programs, including Medicare Advantage and Medicaid, which expand access to diverse patient populations and funding sources. For further information on state-specific requirements, consult resources like the U.S. Department of Labor’s Workers’ Compensation officials.
Maintaining Accurate Demographic and Group Information
Keeping demographic data current is vital for smooth billing and communication. Providers can update their information via the portal or by submitting changes on official letterhead to Claritev. Group administrators are responsible for submitting roster updates, ensuring that all provider information remains accurate and up-to-date. Regular updates help prevent claim delays and facilitate ongoing network participation.
Supporting Community Health and Well-being
Beyond operational support, Claritev invests in community health through programs like the Rural Health Grant, which supplies funding to rural providers to expand services and improve local health outcomes. Our Toy Car Program also contributes to pediatric patient comfort by providing ride-on cars to hospitals, making visits less intimidating for young children. These initiatives exemplify our commitment to fostering healthier communities.
Contacting Claritev
Providers can reach us through our online Provider Portal or by calling our dedicated support lines. For Medicare Advantage or Medicaid inquiries, contact 1-866-971-7427. For updates related to our Arizona-based networks—including the Arizona Medical Network (AMN), Rural Arizona Network (RAN), and Health Management Network (HMN)—use our online portal or reach out via email at [email protected].
Stay informed about network updates, credentialing, and other provider services by visiting our official websites or contacting our support teams. Our goal is to ensure that healthcare providers have the resources and support they need to deliver exemplary patient care and thrive within their networks.