If you have questions about a claim or need help with claim processing, call our Service Operations: (888) 806-3400. If you have a question about Healthcare Highways, you're welcome to call us at 1-866-945-2292, or contact us through our website. He began his career with the Equitable Life Assurance Society of New York, and then cofounded Equitable Plan Services, Inc., a third-party administrator located in Oklahoma. CerpassRx helps employers fill prescriptions and keep drug costs to a minimum. Incentivizing and empowering providers to focus on long-term health outcomes. Contact Us. Houston (/ h ju s t n / (); HEW-stn) is the most populous city in Texas, the most populous city in the Southern United States, the fourth-most populous city in the United States, and the sixth-most populous city in North America, with a population of 2,304,580 in 2020. MORE. First name * Last name * Email * Phone * Company Name. Currently, he runs E Smith Legacy, EJ Smith Construction, E Smith Realty Partners, E Smith Capital Partners, and Prova Group, Inc., and is a Certified Commercial Investment Member (CCIM), realtor, and author. 8. Legal Statement No Surprises Act. Take back control of health benefit costs, now: (225) 819-1141 or email sales@verityhealth.com. An innovative PPO network and health plan partnering with best-in-class hospitals, providers, and payers to deliver customized solutions. Alans expansive career includes more than 35 years of experience in many facets of healthcare, finance, and operations management. It can be complimented with Verity network tier or additional tiered provider networks with benefit options. He is also the former Chief Medical Officer of the Providence Health System and Executive Director of the 300-physician Providence Health Alliance, both of which belong to the Ascension Health system. Prior to his time at Aon, Peter served as a leader in the health system space working as Vice President of Clinical Quality and Patient Safety at MercySt. He has grown the company from a start-up in the mid-1990s serving local Texas hospitals to a multi-state enterprise of 500+ employees and more than $65 million in annual revenue. Jambu leads Healthcare Highways information technology efforts, including developing the IT strategy, driving innovation, and executing all enterprise goals. He was a 5-time All American Gymnast at the University of Oklahoma and NCAA Champion in floor exercise in 1979. He began his career with the Equitable Life Assurance Society of New York, and then cofounded Equitable Plan Services, Inc., a third-party administrator located in Oklahoma City, Oklahoma. He completed his residency at Geisinger Medical Center and Fellowship in Pain Management at The University of Virginia. Your Employer*. Is there any reason that the provider, for the long term, does not possess the financial resources to provide health care services to Healthcare Highways members? After earning his MBA from Southern Methodist University, Mr. McCabe began his professional career at the consulting firm of Coopers & Lybrand in the Actuarial, Benefits and Compensation Practice, where he handled building, negotiating, managing, and auditing all facets of employer benefit offerings. Company Address: 5904 STONE CREEK DR. SUITE 120. No Alerts & Closings in Your Area Sign Up to Get Future Alerts. Rhett has been recognized by Beckers Hospital Review by being named to their 2016 class of Rising Stars: 50 Healthcare Leaders under 40; in 2017, was named to the University of Oklahoma Price College of Business 40 Alumni Under 40, and in 2019, was named to Oklahoma Magazines 40 Under 40. 10660 Park Road. Prior to joining Gallagher, Chris was part of many successful start-up benefits companies, affording him invaluable experience into the challenges associated with running a profitable and healthy business. HCH-HDO Cred Application 201911, 20210728 Page . Description:. If you are here to log into your provider account, be sure you have the group number handy. 803-329-3130. Group Number (required) Patient Date of Birth (required) Member ID (from ID Card) or Employee Social Security Number (required) Currently, he serves on advisory boards for both United Healthcare and Health Care Services Corporation (BC/BS). Joe Cunningham is board certified in both internal medicine and quality assurance and peer review. Frisco, Texas, United States 51-100 Venture - Series Unknown Private www.healthcarehighways.com/ 93,865 Highlights Total Funding Amount $57K Contacts 63 Employee Profiles 1 Investors 1 Similar Companies 3 He was also CEO of Insurers Administrative Corp. (IAC), a TPA of health insurance programs, before joining Healthcare Highways' Board of Directors. During his time at Aon, Peter was a national and global resource for over 200 Account Executives, impacting 250+ health care clients. First name*. Providers can confirm a members eligibility by accessing theprovider portalor calling the number for the health plan in your state: Group numbers starting with HH (in Oklahoma and Texas), call (866) 353-8162. Learn more about how CerpassRx can help here. Michael graduated from the University of Oklahoma in 1979 with a bachelors degree in Business Administration/Finance. Jambu has over 35 years of experience in developing and implementing a wide range of software applications, with 20 years of that experience in the U.S. healthcare space. They understand that change is extremely difficult and confusing for consumers and employers. Mike began his career as a Public Accountant, earning his CPA designation, while working primarily in the audit department of a large, national accounting firm. Suite 3100. Last name*. Our high performance network does not include expensive, over-utilizing marquee providers or vendors. Providers in a broad network typically operate within the traditional, fee-for-service model, which financially incentivizes volume of services--necessary or otherwise. Certain outpatient procedures may also require pre-certification. Find contact's direct phone number, email address, work history, and more. During his time as Vice President of Polaris Financial Technology, Jambu worked in multiple countries (Indonesia, Saudi Arabia, and UAE) and with clients such as Citibank. Bart Conner has built an impressive business and philanthropic career focused on his passions, leading to among many things: the TV production company Perfect 10 Productions and the Bart Conner Gymnastics Academy in Norman, Oklahoma one of the largest and best-equipped gymnastics centers in the United States. Mr. Conner and his wife Nadia Comaneci host the Bart & Nadia Sports Experience, a health and wellness event offering free health screenings and interactive fitness challenges to promote ownership of our health and wellness status every February at the Cox Arena and Convention Center in Oklahoma City, OK. Chris leads and manages the Healthcare Highways sales department and is responsible for developing tailored insurance products in local markets.Chris brings payer, consulting, and stop loss experience through working with one of the oldest independent benefits TPAs and co-founding a captive insurance agency that distributed both fully insured and self-funded products. Brett also has extensive experience working in the health provider arena. . 803-329-3130. Your Rights and Protections Against Surprise Medical Bills. HCH Corporate Headquarters One Cowboys Way Suite 290 Frisco, TX 75034. Advertisement. Stan Dennis has over 30 years of experience in healthcare services and payer services. First Name: Required Last Name: Required Company Name: Required Title: Email: Required Phone: Required Comments: Required Type of inquiry: Answer the question below: Look on your member ID card to verify coverage. Healthcare Highways was founded in 2010 by Michael Wilson who has spent the last 30+ years identifying and addressing the top challenges in the US healthcare system. Brian was recruited back the states in late 2014 by Oscar Health to start its Texas operation. Austin, TX 78701. Review your medical and prescription claims, check payment status, view or print your current ID card, locate an in-network provider close to home and more. Pre-certification is required on certain services or healthcare facilities depending on your plan. Healthcare Highways's annual revenues are $100-$500 million (see exact revenue data) and has 100-500 employees. Claims may take up to five business days to process. Or switch to fully integrated health plan, designed to address the total cost of care, supported by the Verity network in Louisiana and the Sync network in Texas and Oklahoma. Obtaining these medications without first having prior authorizations will require paying the full cost of those medications. Supero Healthcare Solutions. 66. Atrium Health Musculoskeletal Institute Orthopedics & Sports Medicine. or your provider portal located at www.healthcarehighways.com HCH01 HH HCH Refer to the participant's ID card EFT/ERA Payment System Echo Health VPay Healthcare Highways Health Plan PO Box 16817 Lubbock, TX 79490-6817 www.hch.operations@healthcarehighways.com Fax: 214.390.2139 Healthcare Highways Health Plan Attn: Network Operations 3001 . They will put the pharmacy in touch with our Customer Service team. As an independent high performance network, we are free of broad network politics inherent of the BUCA networks. For Healthcare Highways Health Plan Select the login button that matches the group number - either "HCH" or "HH" For Healthcare Highways Health Plan TrueChoice Select the login button that matched the group number - "162" If your Group Number starts with HCH Credentialing is done before a healthcare provider joins Healthcare Highways and is separate from the contracting process. Rhonda is responsible for building, managing, and servicing Healthcare Highways' provider networks in Texas. Your Email*. Provider Office Phone Number*. Peter previously worked at Aon as Senior Vice President of Population Health for the consultancys National Health Care Industry practice. Please contact your Health Benefit Plan to verify your eligibility and discuss any benefit or claim questions. Mike eventually rose to a leadership position at the company, whichafter an acquisition by Wellpointwas operating under the UniCare brands Life & Health Division. An innovative PPO network and health plan partnering with best-in-class hospitals, providers, and payers to deliver customized solutions. Our Stand-alone or inclusive highly-valued provider network that can complement Verity First Choice (EPO) with a choice of provider networks with benefit options. Legal Statement No Surprises Act, formerly known as Healthcare Highways Rx (HCHRx). Quantity limits are used to ensure medications are being used safely and correctly, and may limit the amount of medications a member can receive over a period of time. A formulary is a list of medications frequently used by members and prescribers to identify and select a safe, effective and affordable treatment option. You can contact WellFirst Health Customer Care at the following numbers: Individual & Marketplace Plans 866-514-4194 (TTY: 711) SSM Health Employee Health Plan 877-274-4693 (TTY: 711) Fax: 608-827-4212 Hours Monday - Thursday: 7:30 am - 5 pm Friday: 8 am - 4:30 pm Mailing WellFirst Health PO Box 56099 Madison, WI 53705 WellFirst Health Active, Closed, Last funding round type (e.g. Louis, and as System Vice President, Population Health at SSM HealthSt. WebTPA is actively monitoring the COVID-19 situation as it relates to our clients, members, partners and employees. Were happy to provide extra support 8:00 a.m. 5:00 p.m. (CT), MON-FRI (866) 945-2292, 2022 Healthcare Highways, LLC. He went on to found PPO Oklahoma, Corporate Health Plans of America, Inc. (CHPA), and later Texas True Choice, Inc. (TTC), which became one of the largest PPO networks in Texas. EMAIL. solutions for employers, providers and payers. You should call the number on the back of your ID card, (844)-636-7506. We want you to have increased volume and better patient engagement. Brawer has held academic appointments both at the Warren Alpert (Brown University) School of Medicine, and Washington Universitys School of Medicine. Michael has more than thirty-six years of experience in healthcare consulting, building out high-performance value-based networks and consulting with hospital systems and employers on direct contracts. 1 / 2. Start by entering in your username and password. Quinney College of Law, where she graduated as a Leary Scholar. Trinity Captive Group is here to help make those positive changes. Mike subsequently transitioned into healthcare insurance, joining the sales department of Mass Mutuals Employee Benefits Division. SaaS, Android, Cloud Computing, Medical Device), Where the organization is headquartered (e.g. View Renae Applegate's business profile as Senior Provider Engagement Specialist at Healthcare Highways. Email: info@superohealth.com. Better Provider Options. Legal Statement No Surprises Act, National Association of Health Underwriters (. Take back control of health benefit costs, now. In addition to her time at Memorial Hermann, Dr. Prestons prior administrative experience covers several senior leadership roles including Chief Medical Officer at Sendero Health Plans, Physician Administrator at Heartland Regional Medical Center, and Medical Director for Scott & White Health Plan. Charlotte, NC 28210. Healthcare Highways is an innovative health plan and pioneer in the creation of high-performance networks that align providers, employers, and employees. Find top doctors who treat Infectious Liver Disease near you in Tyler, TX. Phone Number: 469-850-1873. For more information, please contact us. 9. of . 49. Brian relocated to Belgium to head the international provider network for Cignas Global Healthcare division. Find an agent Health Care Solutions Our industry leading agents save you money and [] Prior to joining Healthcare Highways, Dr. Preston most recently served as the Health Plan Medical Director at Memorial Hermann Health System where she enhanced plan performance and delivered a $50 million improvement to the bottom line in the first 12 months. Complete the form below to have a representative contact you: PLEASE NOTE: We are NOT an insurance company, Medicare or Medicaid. 1 / 2. Prior to joining Healthcare Highways as President, Alan served four years as Vice President of Government Products and Services for MultiPlan, three years as Vice President of Sales and Account Management for Viant Health Payment Solutions, and ten years as President of Texas True Choice. For benefit plan questions, please call (888) 869-5640. Some prescribed drugs will require special approval or authorization before being filled to ensure they meet the plans conditions and requirements for coverage. To support physicians and specialists we offer data reporting and risk-management tools, a Provider Support Team, a web-based Resource Center, and a secure Provider Portal. Our network includes: 9,000+ Physicians 200+ Facilities Take back control of health benefit costs, now: (225) 819-1141 or email sales@verityhealth.com. Michael Wilson has more than 34 years of experience in healthcare, third-party administration, consulting, and managed care. Located in Southeast Texas near Galveston Bay and the Gulf of Mexico, it is the seat and largest city of Harris . Individual salaries will, of course, vary depending on the job, department, location, as well as the individual skills and education of each employee. He went on to found PPO Oklahoma, Corporate Health Plans of America, Inc. (CHPA), and later Texas True Choice, Inc. (TTC), which became one of the largest PPO networks in Texas, before acquiring Century Healthcare, LLC, a limited-benefit health plan, which is now the market leader in limited-benefit plans, MEC, and MVP. He previously served as Systems Director of Managed Care and Revenue Cycle Management at INTEGRIS Health, Oklahomas largest health system with over $2.5 billion in annual revenue. Healthways Provider Portal LoginAsk is here to help you access Healthways Provider Portal quickly and handle each specific case you encounter. Find contact information for Health Highway. Our Customer Experience Teamis ready to help you at every step of your healthcare journey, so if youve got a question, just ask! 2017 Healthcare Highways Health Plan was formally incorporated, leveraging opportunities across the enterprise into a complete health plan built on a high-performance network. Members and the high-value providers that shape our network always come first. Providers can confirm a members eligibility by accessing the. If you have questions or need help with pre-certification, please contact our Customer Experience Team at (888) 869-5640. HCH does not pay claims, determine eligibility or make benefit determinations. Brett is responsible for network strategy, management, and provider relations for Healthcare Highways' Oklahoma market, and has more than 27 years experience working in the healthcare industry within Oklahoma. A native of Tulsa, Oklahoma, and Cherokee Nation citizen, Rhett holds a bachelors degree in Business Administration from the University of Oklahoma and a masters degree in Healthcare Administration from Oklahoma State University. No Alerts & Closings in Your Area Sign Up to Get Future Alerts. Formerly, Mr. French served St. Louis-based Ascension Health the largest nonprofit system in the United States with an operating revenue of $18 billion as president and chief executive officer, bringing growth to more than 70 facilities operating in 36 markets and 20 states. Please reach out to your employers Human Resources department to add or delete a family member as a covered dependent. Peter holds a doctoral degree in clinical psychology from St. Louis University, a masters in clinical psychology from Loyola University Maryland and a bachelors in psychology from the University of Scranton. Search Eligibility. With more than three decades of experience working at nationally recognized healthcare organizations, Dr. Preston brings a wealth of knowledge and expertise to her role. Our broad network solution embeds the care coordination and data transparency required to empower . to update your health provider information. In this position, he was responsible for managing 125,000+ providers across 18 states with $20B+ in medical spend. Simply select from the dropdown menu below, and you're on your way! Nominate a Provider. Our goal is to continually develop and maintain the highest quality, cost effective network of choice. Contact; Provider Portal; Employer Portal; Member Portal; Find a Provider; We're happy to provide extra support 8:00 a.m. - 5:00 p.m. (CT), MON-FRI (866) 945-2292 Were always happy to help with any questions that you may have. You should call the number on the back of your ID card. Text DOCTOR to MDLIVE (635483).Go online to mdlive.com/hch. She began her health insurance career as the President of Lone Star Audit where she conducted medical bill and dependent audits for self-funded employer groups. The formulary for Healthcare Highways Health Plan members is updated twice a year. Do I have to use the Healthcare Highways in-network providers for all my healthcare needs? Our stand-alone Exclusive Provider Organization (EPO). process for you to login to Healthcare Highways Provider Portal is quite simple and easy for you to sign-in Healthcare Highways Provider Portal. Doug French has more than 30 years of experience as a distinguished healthcare executive. Brian began his career as a healthcare attorney in Houston where he followed a managing partner at the firm he was working to run a regional HMO (Sanus/NYLCare) that was later acquired by Aetna US Healthcare. You always have a choice where to seek care, but coverage depends on your health plan benefits. HealthSmart providers have access to a variety of services, including real-time, online access to useful patient information. During his tenure as Chief Information Officer at OrchestrateHR, Jambu developed several health insurance and payroll applications that enabled the firm to provide a complete employee benefits solution and elevated the firms technology capabilities into a core competency for the company. If you're a member and have a question or issue, give our Customer Experience Team a call between 8-5pm CST Monday-Friday and they'll be happy to help you out - 1-866-945-2292 - or you can complete the form below. The Service Operations team member may transfer your question to an associate who can answer your question. If you want to login to Healthcare Highways Provider Portal, let us help you find the official portal. Dont see the answer to your question below? They will put the pharmacy in touch with our Customer Service team. A Fellow in the American College of Healthcare Executives, he has published and spoken extensively on healthcare ventures, innovation, and IT. Healthcare Highways is a forward thinking company with a singular mission: lower the cost of health care for members, providers and employers. 10. Sunny. We have the ability and flexibility to implement strategic benefit designs to meet the needs of employers and members. Use our tool to find a provider in your area. Provider Name*. If a claim is not resolved to your satisfaction, please contact us through our Provider Claims Injury Process. You always have a choice where to seek care, but coverage depends on your health plan benefits. info@evhc.com. Most recently, Mike served as President of Century Healthcare, a national organization responsible for sales, marketing, customer services and financial budgets, growing it to a market-leading company of Limited Benefits & MEC products before its sale in 2019. the time when something ends crossword clue . Call first before you head to your doctor as many providers are now offering telephonic office visits. Directions. Scott Wood is a nationally recognized insurance industry expert with 30 years of experience in insurance company operations, administration, marketing, strategic planning, risk management, product development, reinsurance, and alternative funding, including self-funded plans. Omaha, NE 68106. . He is an avid traveler and runner. Learn more about how CerpassRx can help. Please call Trillium at 1-877-685-2415 if you need to verify any of the information listed for providers. Submitted By : Carlos Miller Verifier Optima Health: Home . Healthcare Highways Health Plan integrates PBM and care coordination solutions within a high-performance network. We have partnered with best-in-class service . epiccare link provider portal login trinity health. Blisss career spans more than 15 years of varied experience in financial management, business leadership, and corporate strategy within the insurance and healthcare industries. He is a longtime member of the National Association of Health Underwriters (NAHU), served as President of the Dallas Chapter in 2009-10, and has been awarded the Chapters highest recognition, the Henry Dawson Award, for his time and service to the organization. *Source: Wakely Consulting actuarial . Verity represents self-funded employers, third party administrators, brokers/consultants and other managed care organizations. Those successes led him to founding the brokerage firm CJW & Associates, LLC, which was subsequently acquired by Arthur J. Gallagher & Co., the parent company of Gallagher Benefit Services. Providers are responsible for verifying member coverage and benefits prior to rendering any non-emergency services or treatments.

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