Transcript Provider Educational Seminar

Provider Educational
Seminar
Provider Tools and Resources
4/13/2015
4/13/2015
Provider Tools & Resources:
Provider Relations Department
• Recruit providers to meet members’ needs
• Monitor network for adequacy, access, and appointment availability
• Conduct orientation, provide on-site training, and host educational
seminars on new programs and services
• Ensure providers have updated policy and procedure information
• Director, manager, supervisor, nine network managers, and five
network coordinators ensure questions are answered and concerns
are addressed quickly and efficiently
Presented by: Johns Hopkins HealthCare
4/13/2015
Provider Tools & Resources:
HealthLINK@Hopkins
Features:
• Submit claims and search for existing claims
• Review and download electronic remittance advice
• Search for members based on name, member PCP name and DOB
• Run and receive reports such as member rosters
• Check the status of referrals and authorizations
• Directly enter referrals and certain services for prior authorization
• Correspond with customer service and care managers via secure
messaging
Presented by: Johns Hopkins HealthCare
4/13/2015
HealthLINK@Hopkins
Priority
Partners/EHP
portal login
USFHP
portal login
Presented by: Johns Hopkins HealthCare
4/13/2015
HealthLINK@Hopkins
Welcome back!
Delivering quality medical services to our members is the hallmark of Johns Hopkins
HealthCare, and we are dedicated to our providers who deliver these services. To
streamline the process and assist you in meeting your patients’ – and our
members’—needs, we are proud to offer this secure, online portal. Start exploring by
clicking the links to the left or right.
Start exploring by clicking the links to the left or the right.
If you need any help, please contact your Provider Relations Network Manager or
Provider Relations at 888-895-4998.
Presented by: Johns Hopkins HealthCare
4/13/2015
Provider Tools & Resources:
Other Electronic Support Services
• Electronic claims submittal
 Partners with most major EDI clearinghouses. Payer IDs: 52189
(Priority Partners and EHP), 52123 (USFHP, Emdeon only)
• Automated Voice Response Unit (AVRU)
• Electronic Funds Transfer
• Website: www.jhhc.com
Presented by: Johns Hopkins HealthCare
4/13/2015
Provider Tools & Resources:
Provider Communications
• Manuals (Priority Partners, EHP, USFHP )
• Line of business quick reference guides (Priority Partners, EHP,
USFHP)
• Lab & Rad guidelines (Priority Partners)
• Outpatient Referral Guidelines (Priority Partners, EHP, USFHP )
• Quarterly newsletter: Across the Board
• Formularies
All are available on www.jhhc.com : Resources and Guidelines
Presented by: Johns Hopkins HealthCare
4/13/2015
Provider Tools & Resources:
Contact information
Provider Relations Department:
• 1-888-895-4998
• www.jhhc.com for a list of network managers
Presented by: Johns Hopkins HealthCare
4/13/2015