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Have questions about
claims or our network?


Our automated phone system is available:
24 hours a day 7 days a week

Live Phone Representatives are available:
Monday-Friday,
9:00 am to 5:00 pm
1-888-801-1660

New York Claims Submission Address:
P.O Box 958438
Lake Mary, FL 32795

New York Request for Review and Reconsideration:
P.O Box 958438
Lake Mary, FL 32795

Electronic Payor ID: 80141

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Provider Services

Important: New Leaf Plan Referral Requirements

Welcome to Healthfirst Provider Services. These pages are designed to help you – whether you are a provider or part of in-office staff – manage day-to-day practice and deliver great service to Healthfirst patients.

Please contact Provider Services at 1-888-801-1660 if you need help or have questions. Thanks for partnering with us to deliver quality health care. Your participation is appreciated, and we look forward to working with you.

From phone numbers and addresses to pre-authorization and claims guidelines, find what you’re looking for fast with the

2013 Provider Quick Reference Guide

2014 Provider Quick Reference Guide for Healthfirst Leaf Plans & Commercial Plans

2014 PCA Quick Reference Guide


News and Alerts

> Health alerts and advisories
> The Source newsletter

> Industry Changes


Quality Improvement

Quality Improvement Programs at Healthfirst

We’re constantly working to improve the delivery of Healthfirst health care, creating a better experience for patients and providers alike. Find out how.

 

> More about quality improvement 


Claims and Billing

We’ve made working with Healthfirst easy and convenient, for both providers and in-office staff. In this section you’ll find comprehensive information pertaining to billing and reimbursement.

 

> More about claims and billing


Provider Manual

Provider Manual

Our Provider Manual outlines the information you need to offer Healthfirst members quality care. The Manual is conveniently divided into sections by topic, so you can quickly find exactly what you need.

 

> More about the provider manual

 

Clinical Partnerships

Healthfirst Clinical Partnerships

Healthfirst is giving back to medical professionals via ongoing best practices dialogue and partnerships in continuing medical education. Click below to see publications from recent Healthfirst partnerships, as well as a calendar of upcoming symposia.

 

> More about clinical partnerships


Compliance

Compliance

Get the information you need to meet compliance guidelines as set forth in the Health Insurance Portability and Accountability Act (HIPAA).

 

> More about compliance


Provider Forms

Authorization and Request Forms for Providers

Get the forms you need for emergency admission, clinical notes request, PET scan certification, outpatient authorization, eye exam consult, hospital discharge, and non-urgent services here.

 

> More about provider forms

 

Last update 2014-06-04 11:59