Provider Update
Update your provider information.
Providers
Important Notification: Effective 01/01/2018 Triad HealthCare Network Utilization Management is the delegated UM authorization department for HealthTeam Advantage PPO 1 and PPO 2.
HealthTeam Advantage is committed to providing guidance, training, tools, resources and support to our network providers.
You have a dedicated Provider Concierge as a partner to assist with:
- Inquiries on the health plan
- Educational material and resources
- Accessing the authorization portal, Acuity and provider portal HealthAxis
- Office orientations
- Quality/Stars programs
Contact your dedicated Provider Concierge by phone or email:
- Phone: 336-663-5340
- Email: providerconcierge@healthteamadvantage.com
You also have a Provider Support team that is available to assist with:
Benefits & Eligibility:
- Verifying member benefits and eligibility
- Phone: 844-806-8217 (Option 1)
- Email: providerbenefitseligibility@healthteamadvantage.com
Claims:
- Status of claims
- Claim reprocessing inquiries
- Payment inquiries
- Phone: 844-806-8217 (Option 2 = Claim DOS 6/30/18 and older, Option 3 = Claim DOS 7/1/18 and newer)
- Email: htaclaims@healthteamadvantage.com for DOS inquiries 7/1/18 and newer or providerclaims@healthteamadvantage.com for DOS inquires 6/30/18 and older
Utilization Management:
THN Utilization Management Department
- Phone: 844-873-2905 8 a.m. to 5 p.m., Monday through Friday and 336-604-1589 after 5 p.m.
- Fax: 844-873-3163
- Provider Portal: https://acuityconnect.conehealth.com/production/
- Mailing Address:
THN Utilization Management Department
1200 North Elm Street Greensboro, NC 27401
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Page last updated: Oct 15, 2018
HealthTeam Advantage, a product of Care N’ Care Insurance Company of North Carolina, Inc., is a Medicare Advantage organization with a Medicare contract. Enrollment in HealthTeam Advantage depends on contract renewal. You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
HealthTeam Advantage, 7800 McCloud Road, Suite 100, Greensboro, NC 27409.
To learn more, please call 1-877-905-9216 (TTY: 711) from October 1 – March 31, 8 a.m. to 8 p.m. ET, seven days a week, or April 1 – September 30, 8 a.m. to 8 p.m. ET, Monday through Friday.
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