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Information for Providers

We truly value our relationships with our providers. If you are one of our providers, this section will offer you some helpful information.

We have expanded our website to be more intuitive for our valued providers and have added a resource library, where important forms and manuals can be easily accessed.

The Provider Website (PWS)

The provider website (PWS) is a secure site that allows providers to generate authorizations, verify eligibility and reference diagnosis codes. If you are interested in requesting access to the PWS, please contact your assigned provider services executive or call the CarePlus Provider Operations Help Line at 1-866-220-5448, Monday through Friday from 8 a.m. to 4 p.m.

The provider website (PWS)

Quality Resources for Healthcare Providers

Increasingly, state and federal governments are moving toward a health care industry driven by quality. Participating providers have likely noticed increased activity among Medicare Advantage payers, about quality initiatives.

CarePlus has developed the resources below to help participating providers navigate the new quality landscape. We'll add to this list as additional materials are completed; so, we encourage you and your staff to check back often.

Should you have any questions about these materials, you may contact your assigned provider service executive or call the CarePlus Provider Operations Help Line at 1-866-220-5448, Monday through Friday from 8 a.m. to 4 p.m.

Healthcare Effectiveness Data and Information Set (HEDIS) Measures and Codes

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H1019_CPHPEDUMKTG2015 Pending
Last Updated: 10/01/2014