Welcome New Providers
Welcome to our network. This page will give you the tools you need to successfully serve patients enrolled in our health plans. We look forward to a long and successful collaboration with you and thank you in advance for your cooperation. Together we will provide our members with the excellent quality of care they have come to expect.
New Provider Checklist
Follow these steps to get fully integrated into our network:
- View or download our new provider orientation
- Register for our Provider Portal
- Sign up for electronic payments
- Read our Quick Reference Guide
New Provider Orientation
The easiest way to familiarize yourself with VNS Health Medicare & MLTC plans, the Provider Orientation Training presentations contain an introductory overview of all our health plans. You’ll find a brief overview of benefits, eligibility, and goals for each plan. You can also access documents that will help you with the onboarding process.
Download our Provider Orientation Presentations:
Medicare (Video coming soon)
Managed Long Term Care
Register for our Provider Portal
Our Provider Portal is your one-stop-shop for 24/7 access to claims, authorizations, eligibility, and more. Submit documents and exchange information with us securely, whenever it’s convenient for you.
Manage and View Claims
View and Submit Authorizations
Access Patient Rosters
Verify Eligibility
Submit patient records and supporting documents.
Exchange secure messages with us
Electronic Payment for Providers
It’s easy to further expedite your claims payments by signing up for electronic funds transfer (EFT) payments that are direct deposited into your bank account. You don’t have to wait for our checks to arrive in the mail or manually sort, reconcile, and deposit checks.
You will need to complete both of the following two steps to begin receiving EFT payments and remittances:
- To set up EFT payments, fill out the EFT Request Form.
- To receive electronic remittance advice files, enroll with Availity directly.
Quick Reference Guide
We created this guide as a convenient resource for trouble-shooting provider-related concerns.
Bookmark this guide to easily find information on:
- Contact centers
- Claims process
- Online resources
- Ancillary vendors
- And much more
Helpful Links
Provider manual
Your one-stop shop for claims, authorizations, eligibility, document submission, and more.
HHAeXchange
A web-based software solution for scheduling, communication, and billing of Home Health Services.
Provider toolkit
Find here basic information and tools you need to efficiently serve your clients and patients.
Find My Provider Relations Account Manager
Contact us
If you have any questions our Provider Relations Team can be reached via Provider Services at 1-866-783-0222 OR via email as follows:
Downstate (counties Westchester and south):
Upstate (Providers West and North of Westchester county)