Healthcare Providers
To navigate in today’s competitive healthcare landscape, you need the right network partner.
Online service allows you to:
- Verify provider network participation
- Submit billing and network inquiries
- Check application and request status
- Access client lists
- Request fee schedules, contracts and rosters
- Add providers to a group
- Update demographic information
- Obtain and submit group rosters
Are you a healthcare provider already participating in our networks?
Claritev brings value to its participating providers
- Lower patient out of pocket expenses
- Improved cash flow and lower collection costs
- Reduced risk of patient migration due to network coverage
- Access to a diverse population of payors
- Contracted network reimbursement
- Contractual timely payment provisions
Join our networks
Claritev delivers patient volume from a diverse base of health care payors, offers administrative ease and accurate claim repricing and provides multiple service options to ensure you get the most out of your network participation.
Check application status
Check the status of an application submitted through our online system.
Important links
Handbooks:
Provider agreements refer to handbooks which provide detailed information covering a range of subjects such as reimbursement, credentialing and dispute resolution. You may also find it helpful to download a copy of our Quick Reference Guide, which gives answers to most service-related questions, and the Authorized Logo Guide.
State Mandated Provider Contract Provisions:
If required by your state, certain provisions are included in your contract, as set out in the State Law Coordinating Provision (SLCP) exhibit. Periodically, we make modifications to the SLCP exhibit to reflect changes in state law.
These contract provisions are not applications to participate in our networks. You can apply for participation here. (You may use your state’s form in place of the Claritev form for initial credentialing when applying to join our networks or for recredentialing purposes. For your convenience, find state forms here.)
Government Programs:
Other Useful Information:
- Workers’ Compensation Officials by state – U.S. Department of Labor web page to help you navigate the state-specific compliance requirements for Workers’ Compensation.
- Claritev acquired HMA, Inc. in 2011, including the company’s provider networks: Arizona Medical Network (AMN), Rural Arizona Network (RAN) and Health Management Network (HMN). Claritev continues to offer access to these networks.
- Claritev acquired Integrated Health Plan (IHP) in 2011, including the company’s IHP Network. Claritev has since absorbed the IHP Network into our Claritev branded network.
Maintain your demographic information
Contracted Claritev providers may request updates to their information online via the Provider Portal or by sending changes on the provider’s letterhead to Claritev via email to [email protected], fax to 781-487-8273 or mail to Claritev Registrar, 16 Crosby Drive, Bedford, MA 01730. Refer to the Claritev provider handbook for complete details.
Requests must contain the following:
- The type of change requested (add, change, delete)
- Provider Name
- Street Address, City, State, Zip
- Phone and Fax Numbers for above address
- Address Type (mailing, billing, service, etc.)
- Copy of W-9 form
Group Roster Updates
Changes for providers contracted through a group must be submitted by the group administrator. Please indicate whether the update contains a full roster replacement or changes.
Note: The Registrar email account is for incoming messages only; inquiries will not receive a response.
Claritev's Philanthropic Programs
Claritev's Rural Health Grant
Awarded yearly, this grant provides financial resources to help healthcare providers in rural areas introduce or expand services, education, screenings and other programs aimed at improving the health of people in their communities.
Toy Car Program
Claritev’s toy car program supplies battery-powered ride-on toy cars to pediatric units at participating hospitals. The cars give young patients a fun distraction to make their hospital visit a little less scary.
Contact us
- Use our online Provider Portal or call 1-800-950-7040
- Medicare Advantage or Medicaid call 1-866-971-7427
- Visit our other websites for Medicaid and Medicare Advantage
Arizona Medical Network (AMN)
For our Arizona Medical Network (AMN), Rural Arizona Network (RAN) and Health Management Network (HMN):
- Use our online Provider Portal or call 800-919-1173
- Information updates:
- e-mail: [email protected]
- fax: 630-649-5674
- mail: Attn: HMA Intake, 6116 Shallowford Rd, Suite 109B, Chattanooga TN, 37421-7209
Health Management Network (HMN)
For our Arizona Medical Network (AMN), Rural Arizona Network (RAN) and Health Management Network (HMN):
- Use our online Provider Portal or call 800-919-1173
- Information updates:
- e-mail: [email protected]
- fax: 630-649-5674
- mail: Attn: HMA Intake, 6116 Shallowford Rd, Suite 109B, Chattanooga TN, 37421-7209
Integrated Health Plan Network (IHP)
Call: 888-640-8707
Fax: 630-649-5830
Email: [email protected]
Rural Arizona Network (RAN)
For our Arizona Medical Network (AMN), Rural Arizona Network (RAN) and Health Management Network (HMN):
- Use our online Provider Portal or call 800-919-1173
- Information updates:
- e-mail: [email protected]
- fax: 630-649-5674
- mail: Attn: HMA Intake, 6116 Shallowford Rd, Suite 109B, Chattanooga TN, 37421-7209
