For Providers

Our healthy business practices help your practice thrive.

Elderplan knows a great health plan needs more than great health benefits. It also needs a great Provider Services Department that understands the business side of health care.

We remove the hassles physicians normally experience with other health care plans by:

  • Performing accurate and timely adjudication of claims
  • Assigning a Provider Service Representative to every Primary Care Physician
  • Eliminating referral requirements for routine, medically necessary services provided by participating specialists

At Elderplan, we’ve also made it easier for patients to follow your prescribed care. Our care managers work with members with advanced chronic conditions and their doctors and nurses. Together, the team assures that a personalized health plan is developed to help the member live the healthiest and most comfortable life possible.

We’ve developed a Provider Web Portal to better serve health care providers. For participating providers, some of the most common inquiries—including member eligibility and claims details—now can be done online 24 hours a day, 7 days a week. The portal offers other important resources, such as formularies, member eligibility and more!

CLICK HERE to register for the Provider Web Portal today.

To contact pharmacy technical help call 1-866-417-3064, 24 hours a day, 7 days a week.