Search
 
QUICK LINKS

 
Provider Directory
Formularies
Quick Reference Guide
Provider Manual
Form and Supply Requests
Urgent/Walk-in Care
Member Rights and Responsibilities
Info by Email
 
 
 
PROVIDERS

Health Partners Provider Manual

Thank You for Using our Provider Manual Online!

The new Health Partners Provider Manual has been updated to reflect current Health Partners policies and procedures and applicable changes to Medical Assistance benefit packages, as well as provide information about our KidzPartners CHIP program scheduled to launch later this year.

Each section (such as Provider Billing & Reimbursement and Utilization Management) is posted individually for easier reference. Additional updates will be added as appropriate throughout the year.

Each section is a PDF document that can be printed in part or in its entirety. You can also use the search capabilities of the PDF format by:

  • Clicking on the "binocular" icon on the tool bar above the document. This will allow you to type in key words to reach related topics within each section.
  • Clicking on the bookmarks to the left of the section. Certain bookmarks begin with a + (plus) sign to further aid you in your navigation. Click on the + (plus) sign and the subsection links will appear.

Some sections of the Provider Manual were re-numbered in 2009. Please use the section titles, or refer to the Table of Contents, to readily find the information youre seeking.

Your feedback is very important to us. If you have any recommendations for the manual or its online presentation, please share them by clicking here. Or call our Provider Services Helpline at 215-991-4350 or 1-888-991-9023.

   Preface/Contents

   Introduction
   Frequently Asked Questions
   Health Partners Member Eligibility/Enrollment
   Health Partners Benefits
   KidzPartners Benefits  (10/09)
   Utilization Management
   Quality Management
   Provider Practice Standards & Guidelines
   Provider Billing & Reimbursement  (2/10)
   Appeals & Grievances
   Appendix
 
To view PDF documents, you must have Acrobat Reader installed.
Click the button to download it for free.


KidzPartners & CHIP

HealthChoices plan awarded highest accreditation: Excellent   HealthChoices plan awarded highest accreditation: Excellent


  
Home | Careers | Site Map | Contact Us

Copyright 2012 Health Partners, Inc. All rights reserved.
Privacy Practices | Terms of Use