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Providers

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Provider directories

Commercial groups

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Authorizations

For non-emergent imaging procedures:

Prescription drugs

Commercial group formularies

Medicare formularies

Claims

Please remember to use the following mailing addresses for new claims:

Health First Health Plans
PO Box 69355
Harrisburg, PA 17106-9355

For information on submitting claims electronically, please visit Claimsnet or call 1-800-356-1511.

Claim dispute form
Corrected claim form modifier 25/59
Proper use of modifiers (-25, -59, -50)
Provider waiver to initiate Medicare Advantage claim appeal

Changing network status

To ensure a proper continuum of care for our members, it is imperative that we receive a 60-day written notice from any provider office intending to change network status. This includes not accepting new patients, or leaving the network. Your cooperation is greatly appreciated. (Request must be submitted in writing.)

Other

  • ID cards - Examples of our member ID cards
Photo of doctor General info Member health education and information

HIPAA 5010 FAQs

Compliance resources for providers/FDRs

MyHFHP (secure portal)

Contact us Contact customer service