How do I submit a claim?
View Claims Information here.
How do I check claims status?
Visit the Provider Portal or call 844-806-8217 (option 2).
How do I submit a change in my demographic information? (Address, NPI, TIN, etc.)
Changes must be submitted in writing along with an updated W9. Changes can be sent via email to your Provider Concierge or made via the online Provider Update Form.
What is the phone number and fax number for the Prior Authorization Department?
Phone: 844-806-8217 (option 3)
Fax: 844-873-3163
How do I verify benefits and eligibility?
You can verify member benefits and eligibility by phone, 844-806-8217 (option 1), by Provider Portal, or by email, ProviderBenefitsEligibility@htanc.com.
How do I check if we are a contracted provider?
You can check your status by searching our online provider directory or by calling 844-806-8217 (option 5).
How do I become a contracted provider?
You can request to join our network by completing the online Join Our Network form.
The Member ID cards have separate numbers for dental and vision. Do I call those numbers for those benefits?
Yes! Our dental benefit is administered by Dominion Dental Services, Inc., and our vision benefit is administered by VSP. Please see the Evidence of Coverage for full details.
Who do I contact if I have questions about my contract or need a copy of my contract?
Contact Provider Concierge via phone, 844-806-8217 (option 5), or via email: providerconcierge@htanc.com.
What is the HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) plan?
The HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) is a Health Maintenance Organization (HMO) Chronic Special Needs Plan (C-SNP) available to Medicare beneficiaries who reside in Alamance, Davidson, Davie, Forsyth, Guilford, Randolph, and Rockingham counties. To enroll in this plan, the beneficiaries must have diabetes and/or chronic heart failure (CHF) verified by their provider.
To complete enrollment in the Chronic Special Needs Plan, your patient must prove they have a qualifying condition of Diabetes or Chronic Heart Failure. HealthTeam Advantage will need to obtain verbal or written attestation from you within the enrollee’s first 30 days of effective coverage to prove that the enrollee has been diagnosed with one of the qualifying conditions in order to remain covered by the Chronic Special Needs Plan. This attestation can be obtained verbally on a recorded phone line or by faxing a completed attestation form. If we are unable to obtain the attestation verbally or in writing within 30 days of the effective date of coverage, a disenrollment from the plan will occur.
When your office receives attestation forms, act immediately to keep your patients enrolled in the HealthTeam Advantage Diabetes & Heart Care plan.
For more information about this plan, email your Provider Concierge or call 844-806-8217 (option 5). To keep your patients enrolled, please complete the Provider C-SNP Verification Form.