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Provider

 

Thank you for your interest in our plan. Harmony Health Plan understands that maintaining a healthy community starts with providing care to those who need it most. As the largest Medicaid and Medicare-only contractor in the nation, Harmony and the WellCare group of companies offers affordable health care plans to individuals eligible for government-sponsored programs. 

 

Join Harmony

Please complete our provider form or contact us for more information on how to join our network.

 

New Hospice Requirements

Please review new hospice requirements regarding the HFS 1592 and physician certification of terminal illness statement.

 

Curves Complete® Program for Members

Harmony has partnered with Curves to offer a weight-loss program to members.

 

Medicaid Post-Pay Inpatient Readmissions

Harmony has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission.

 

Website Capabilitiespdf

Our secure Provider Portal offers a variety of ways to manage your account online, including:

 

  • Member eligibility and co-pay information.
  • Authorization requests and status inquires.
  • Claims submission and status inquires.
  • A personal inbox with direct messages from Harmony.
  • Provider news.
  • Sign up: Individual Provider | Large Group/IPApdf

 

Note: You'll need your Provider ID number to register for the secure site. You can find the ID number on your provider welcome letter and on every Explanation of Payment (EOP) you receive from us.  If you don't know your Provider ID number, contact your local Provider Relations Representative.

Last modified: 03/03/2015
 

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