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Provider

If you need assistance as a provider or group:

There is a downloadable spreadsheet in the provider resources below for specific contacts.

What’s in This Section?

At Elite Health Plan, we believe that sharing the right resources and information is key to supporting our providers in delivering the best care possible to our members. This section is designed to give providers and office staff quick access to important tools and guidance.

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Here, you’ll find helpful information on:

  • Member eligibility and benefits

  • Claims submission and processing

  • Medical policies and guidelines

  • Pharmacy resources

  • Compliance and CMS programs

  • Provider updates and announcements

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If you have any questions about this website or need assistance, please contact the Elite Health Plan Network representative.

Important  Information

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Elite Health Plan Clearing House Information:

  • Availity: Elite Health Plan Payer ID - 63681

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Elite Health Plan Electronic Eligibility and Benefit Inquiry and Response

(EDI 270/271):

  • FinThrive (formerly TransUnion Health)

            Elite Health Plan FinThrive ID - 16713

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Elite Health Plan Electronic Claims Status Inquiry and Response

(EDI 276/277):

  • FinThrive (formerly TransUnion Health)

            Elite Health Plan FinThrive ID - 16713

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To access our clinical policies, please click below.

To access the provider portal, please click below.

To access our Pharmacy Benefit Manager, Med Impact, please click below.

Provider Resources

light background reporting - blank spreadsheet.jpg

Delegated Provider / IPA / Medical Group  ReportingTemplates

When submitting completed reports, please utilize your SFTP site that is linked with your Medical Group/IPA and Elite Health Plan. 

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