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Provider News
Review NPI/Taxonomy on Claims and the PML!
Providers need to review their claim submission process and their taxonomy on the state PML. When the taxonomy is not present or does not match what is on the state PML, the validation of the claim/encounter stops and will be rejected.
Host a Clinic Day Today!
If you are interested in hosting a Clinic Day or want to schedule your Clinic Day, read this bulletin to learn more.
Register today: Exploring the intersection of race and disability
Simply and CHA are committed to making healthcare simpler and reducing health disparities. Open discussion about the disability experience for people of color and reducing implicit bias for those in healthcare is critical to improving the health and well-being of the communities in which we live and serve — all Americans.
Hospitalist Group Update Bulletin
Please refer to the Hospitalist Group Update Bulletin for information on changes made to our preferred hospitalist groups in Miami-Dade, Broward and Palm Beach counties.
Expedited Authorization Requests via Availity
Effective June 20, 2022, Simply and CHA will require all expedited service authorization requests be submitted via the Availity web portal.
Important notice: Dermatology services vendor transition to Dermatology Network Solutions
Effective May 1, 2022, Dermatology Network Solutions will be the statewide subcontractor providing dermatology services to Simply and CHA members.
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.
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Receive email from Clear Health Alliance
Clear Health Alliance is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.
Featured Resources
Pharmacy information
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
Maternal Child Program
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the Taking Care of Baby and Me® program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.
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.