Clear Health Alliance Provider Home

Providers

Welcome, providers!

Resources that help health care professionals do what they do best – care for our members.

At Clear Health Alliance (CHA), we value you as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.

Looking for the secure portal?


For services provided before the rollout of the new Statewide Medicaid Managed Care program, please visit the previous CHA provider portal.

For services provided after the new Medicaid plan rollout, please visit the Availity portal.

Don't have an Availity account? Register for free now!

Need help with Availity? Learn more

Provider News


Florida Surgeon General Scott A. Rivkees Issues Public Health Emergency in Response to Hepatitis A Outbreak

The Florida Surgeon General Dr. Scott Rivkees declared a Public Health Emergency to address the increase in Hepatitis A cases in Florida due to the current national outbreak. For questions about Hepatitis A, the Florida Department of Health has established a dedicated email address: HepA@flhealth.gov, and information line: 1-844-CALL-DOH (1-844-225-5364), available Monday – Friday, 8 a.m. – 5 p.m.

Please see here for more information:

Pharmacy benefit manager change to IngenioRx

Effective October 1, 2019, IngenioRx will become the pharmacy benefit manager (PBM) for prescription drugs, home delivery pharmacy and specialty pharmacy for Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply) members.

Electronic claim payment reconsideration

Currently, providers can submit claim payment reconsideration requests verbally, in writing or electronically. We are reaching out to notify you about some exciting, new tools for electronic submission of Medicaid claims that will become available through the Availity Portal. You should soon see changes in your provider manual that will outline this new information. Beginning July 22, 2019, providers will have the ability to submit claim reconsideration requests through the Availity Portal with more robust functionality.

Beacon Health Options

As valuable partners, you play an important role in helping Anthem fulfill its mission to improve the lives and communities of those we serve. Today, we’re excited to share with you that Anthem has announced plans to acquire Beacon Health Options (Beacon), the largest independently held behavioral health organization in the country, which serves more than 36 million individuals across 50 states.

Availity access


The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity you can:

Request authorizations.
Submit claims.
Confirm eligibility.

Don't have an Availity account?  Register free now!

Availity is your one-stop to complete your transactions

Featured Resources


Pharmacist looking at prescription bottle

Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Excited Mom showing off baby’s ultrasound

Maternal Child Program

We offer a proactive case management program for expectant mothers and their newborns. The My Advocate® program provides pregnant women proactive outreach and education through interactive voice response (IVR), text or smartphone application.

Patient talking with counselor

Behavioral health provider

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Provider tools & resources

Interested in becoming a provider in the Clear Health Alliance network?

We look forward to working with you to provide quality service for our members.