Benefits, eligibility and claims
Availity is our secure provider portal, which makes it easy for you to do business with us. The system is available 24/7, offering faster prior authorizations, claims decisions and more.
Benefits, eligibility and claims
Availity is our secure provider portal, which makes it easy for you to do business with us. The system is available 24/7, offering faster prior authorizations, claims decisions and more.
EFT and ERA enrollment
CAQH EnrollHub is an online system that simplifies and streamlines the electronic funds transfer (EFT) and electronic remittance advice (ERA) enrollment processes for providers and payers — helping improve administrative efficiency and save time.
LAUNCH ENROLLHUB
Reconsiderations and appeals
If you disagree with a claims outcome or denial, you can ask us to reconsider our decision. Please see our Provider Administration Manual for additional information.
Learn about care management
Our care management program offers compassionate and effective care coordination and support services. You can learn more about this program in the Management section of our Provider Administration Manual.
SEE MANUAL
Don’t see what you need here?
We've gathered all the claim forms, medication lists and other information you might need in one convenient place.
Don’t see what you need here?
We've gathered all the claim forms, medication lists and other information you might need in one convenient place.
Our latest news and updates
Learn what’s new at Shared Health, from everyday business processes to larger health care initiatives.
Shared Health Clinical Practice Guidelines
Shared Health adopts and disseminates certain nationally recognized clinical practice guidelines for use by our network providers. These guidelines address acute and chronic medical services and behavioral health services and are intended to assist providers in making appropriate health care decisions for specific clinical circumstances. Shared Health attests that the text and format of these compendia haven’t been altered in any way and that these resources shouldn’t be construed as a legal or required standard of care.
More information about these guidelines can be found in the U.S. Preventive Services Task Force Guide to Clinical Preventive Services. We hope this resource will be both convenient and helpful to you in caring for your patients. Paper copies of these guidelines are available upon request by calling 1-877-258-30021-877-258-3002.
