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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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Quality

At Healthfirst, we are dedicated to providing our members with the highest level of care. That’s why we’re constantly focused on quality improvement, in every aspect of service. Learn more about our programs below.


Clinical Practice Guidelines

Appointment Guidelines for our Network of Providers

We know access to best practice information is crucial to providing your patients with quality health care. Along with understanding the guidelines from your specialty’s clinical guidelines, please explore our other practice guides and resources below.

 

> Learn more about clinical practice guidelines.


Clinical Tools and Resources

As a Healthfirst medical provider, we want to help you deliver quality health care. We’ve dedicated ourselves to serving you by providing important tools and resources to help you manage common conditions.


> Learn more about clinical tools and resources.

Improving Member Satisfaction

What are some of the provider expectations and responsibilities when it comes to serving members?

> Learn more about improving member satisfaction.

 

HEDIS/QARR

Healthcare Effectiveness Data and Information Set (HEDIS) and Quality Assurance Reporting Requirements (QARR) are Federal and New York State tools used to measure the performance of health plans and practitioners on care and service.

 

> Learn more about HEDIS / QARR.

 


Medical Record Documentation Standards

Medical Billing Codes

Healthfirst Providers are required to maintain the medical records of members in a manner that is current, organized and comprehensive and that permits effective patient care and quality review.

 

> Learn more about medical record documentation standards.

 


Member Wellness Guide

Members can use the My Wellness Guide as a personal checklist for immunizations and preventive screenings, to share with you at their annual physical exam.

 

> Learn more about the Member Wellness Guide.

 

Last update 2014-03-11 14:56