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IMPORTANT UPDATES:
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The Provider Services Department would like to facilitate the process of obtaining a
Letter of Agreement (LOA)
to non-contracted providers seeing Commercial members.
The LOA has JMH Health Plan standard rates and can be completed and submitted via
fax: 305/355-2296 or e-mail:
providerservices@jmhhp.com
. Please include a W9 form and contact information, so that we may provide status updates within 5 business days.
For assistance with Membership, Authorizations and Claims please call these numbers:
For Member Eligibility and Benefits please call 305/575-3640
For Authorizations please call 305/575-3650
For Claims status or information regarding access to our new online Provider Portal please call 305/575-3680
Prior Authorization rules are outlined in our
Authorization Requirements
document.
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We have a secure web site designed with you in mind!
You can...
* Verify a member's eligibility for services
* Get co-payment information
* Request a referral or check the status of
an existing referral
* Check the status of claims
* Review practice guidelines for Preventive
Services and chronic illnesses such as
Asthma and Congestive Heart Failure
* Access provider manuals and directories
* Get the latest news and updates from us
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Need to find a pharmacy?
See our formulary?
Or get the lastest news from our pharmacy benefit department?
Then click here...
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To access our secure web sites, register with us by filling out a form...
For all other lines of business, register here
For the South Florida Community Care Network, register here
If you're already registered, sign in...
Login to all our other lines of business web site
Login to our South Florida Community Care Network web site
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Providers wishing to submit claims electronically, please review the flowing documents...
EDI Provider Enrollment Form
837I Companion Guide
837P Companion Guide
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Looking for our Provider Manual? You can find it here...
2011 Provider Manual
Our Provider Complaint and Grievance process can be found here...
Provider Complaint System
Information about Fraud and Abuse can be found here...
Provider Fraud and Abuse
Read about our Compliance Program...
JMH Health Plan Compliance Program
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