Frequently Asked Questions
How do I submit a claim?
See “Claims Information” in the above section for directions on easily submitting claims.
How do I check claims status?
Visit the Provider Portal or Call 844-806-8217 (Option 2)
How do I submit a change in my demographic information? (Address, NPI, TIN, etc.)
Changes must be submitted in writing along with an updated W9. Changes can be sent via email to the Provider Services department or made via the online Provider Update Form
What is the phone number and fax number for the Prior Authorization Department?
Phone: 844-806-8217 option 3
How do I verify benefits and eligibility?
You can verify member benefits and eligibility by phone, 844-806-8217 (Option 1), online, Provider Portal, or by email, [email protected]
How do I check if we are a contracted provider?
You can check your status by searching our online provider directory or by calling 844-806-8217 option 5.
How do I become a contracted provider?
You can request to join our network by completing the online Join Our Network form.
The Member ID card has a separate number for dental and vision. Is that the number I call for those benefits?
Yes! Our dental benefit is administered by Delta Dental. The comprehensive, optional supplemental dental rider is no longer offered for 2023. Instead, comprehensive dental services are included at no additional cost. Please see the Evidence of Coverage for full details.
Our routine vision benefit is administered by VSP. There is no rider for the routine benefit as all available benefits are embedded in the member’s plan at no additional cost.
Who do I contact if I have questions about my contract or need a copy of my contract?
Contact Provider Concierge via phone 844-806-8217 option 5, or via email: [email protected]
What is the HealthTeam Advantage Diabetes & Heart Care HMO CSNP?
The HealthTeam Advantage Diabetes & Heart Care HMO CSNP is a Health Maintenance Organization (HMO) Chronic Special Needs Plan (CSNP) available to Medicare beneficiaries who reside in Alamance, Guilford, Randolph or Rockingham counties. The beneficiaries must have diabetes and/or congestive heart failure (CHF) that is verified by an HTA network provider to enroll in the plan. To complete the enrollment in the CSNP, your patients must confirm they have a qualifying condition of diabetes or congestive heart failure by having YOU complete this verification form. HealthTeam Advantage will need to obtain the attestation verbally or written within the enrollee’s first 30 days of coverage to remain enrolled in the Chronic Special Needs Plan. To assist your patients in completing the enrollment process, HealthTeam Advantage will be calling to verify the chronic disease or faxing an attestation form to your office to complete and return to HealthTeam Advantage. If we are unable to obtain the attestation verbally or written within 30 days of the effective date of coverage, a dis-enrollment from the plan will occur.
When your office receives attestation forms, act immediately to keep your patients enrolled in the HTA Diabetes & Heart Care HMO CSNP
Email your Provider Concierge or call 844-806-8217 option 5 for more information about this plan. To keep your patients enrolled, please complete the verification form.