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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.

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

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

Important  Information

Elite Health Plan Clearing House Information:

  • Availity: Elite Health Plan Payer ID - 63681

Elite Health Plan Electronic Eligibility and Benefit Inquiry and Response

(EDI 270/271):

  • FinThrive (formerly TransUnion Health)

            Elite Health Plan FinThrive ID - 16713

                         

To access our clinical policies, please click below.

Provider Resources

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