Healthfirst For Providers
Get all the tools you need to manage your practice and deliver excellent service to Healthfirst patients
Get all the tools you need to manage your practice and deliver excellent service to Healthfirst patients
What's New
Provider Resources
Coronavirus (COVID-19)
25 items
Modified May 11, 2021
Modified May 11, 2021
Coronavirus (COVID-19)
Visit this section and stay current on the latest guidance in billing, telehealth and more as it relates to COVID-19.
Visit this section and stay current on the latest guidance in billing, telehealth and more as it relates to COVID-19.
Provider Alerts
78 items
Modified May 11, 2021
Modified May 11, 2021
Provider Alerts
Check out the latest provider alerts and updates from Healthfirst
Check out the latest provider alerts and updates from Healthfirst
Telehealth
9 items
Modified Apr 12, 2021
Modified Apr 12, 2021
Telehealth
The transition to telehealth can be challenging. Visit this section for billing, coding, best practices, and other great resources on telehealth.
The transition to telehealth can be challenging. Visit this section for billing, coding, best practices, and other great resources on telehealth.
Quality Program Resources
155 items
Modified Apr 28, 2021
Modified Apr 28, 2021
Quality Program Resources
Information and resources to help you with your participation in the Healthfirst Quality Incentive Program (HQIP) and federal and state quality incentive programs such as CAHPS, HEDIS, and QARR, are available here.
Information and resources to help you with your participation in the Healthfirst Quality Incentive Program (HQIP) and federal and state quality incentive programs such as CAHPS, HEDIS, and QARR, are available here.
Coding
64 items
Modified Jun 1, 2021
Modified Jun 1, 2021
Coding
Review documentation and coding tips, ICD-10 and ICD-11 resources, and other documentation and coding information.
Review documentation and coding tips, ICD-10 and ICD-11 resources, and other documentation and coding information.
Claims & Billing
69 items
Modified May 11, 2021
Modified May 11, 2021
Claims & Billing
Learn more below about how to enroll for claims processing, submit claims electronically, and more. Whether you’re a provider or in-office staff, you’ll also find everything you need on billing and reimbursement right here.
Learn more below about how to enroll for claims processing, submit claims electronically, and more. Whether you’re a provider or in-office staff, you’ll also find everything you need on billing and reimbursement right here.
Behavioral Health and Foster Care
54 items
Modified Mar 30, 2021
Modified Mar 30, 2021
Behavioral Health and Foster Care
Use these resources to find out more about billing, authorization guidelines, and Home and Community Based Services (HCBS) training available to you and your practice.
Use these resources to find out more about billing, authorization guidelines, and Home and Community Based Services (HCBS) training available to you and your practice.
Patient Care Resources
240 items
Modified Jun 2, 2021
Modified Jun 2, 2021
Patient Care Resources
Feel free to share resources from this section with your patients to help them manage their chronic conditions and improve their health.
Feel free to share resources from this section with your patients to help them manage their chronic conditions and improve their health.
Pharmacy Resources & Formularies
22 items
Modified Jun 1, 2021
Modified Jun 1, 2021
Pharmacy Resources & Formularies
Find the most updated formulary and medical and pharmacy benefit information here. Tips and resources for pharmacies are also available.
Find the most updated formulary and medical and pharmacy benefit information here. Tips and resources for pharmacies are also available.
Compliance and Regulatory
25 items
Modified Jul 3, 2020
Modified Jul 3, 2020
Compliance and Regulatory
Healthfirst promotes a culture of compliance and is committed to maintaining an ethical work environment for all of our employees, members, providers, and vendors.
Healthfirst promotes a culture of compliance and is committed to maintaining an ethical work environment for all of our employees, members, providers, and vendors.
Plans & Benefits
10 items
Modified Apr 26, 2021
Modified Apr 26, 2021
Plans & Benefits
Access this section for information on Healthfirst plans and benefits.
Access this section for information on Healthfirst plans and benefits.
Join Our Network
Healthfirst has over one million members and growing. Join thousands of doctors in providing the best possible care to the patients who need you.
Healthfirst has over one million members and growing. Join thousands of doctors in providing the best possible care to the patients who need you.
Find a Doctor, Hospital or Pharmacy
We work hard to make it easy for you to get the care you need, when you need it. Search in-network providers, hospitals, pharmacies, and more with this convenient tool.
We work hard to make it easy for you to get the care you need, when you need it. Search in-network providers, hospitals, pharmacies, and more with this convenient tool.
Refer Long-Term Care
Provide and coordinates services that are typically covered by Medicaid and Medicare, including the health, social, emotional, nutritional, and rehabilitation services.
Provide and coordinates services that are typically covered by Medicaid and Medicare, including the health, social, emotional, nutritional, and rehabilitation services.
Provider Manuals
These helpful provider manuals will give you and your staff easy access to the information you need to run your practice and provide quality care to Healthfirst members.
These helpful provider manuals will give you and your staff easy access to the information you need to run your practice and provide quality care to Healthfirst members.