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.

COVID-19 Information from Clear Health Alliance


Clear Health Alliance is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

Looking for the secure portal?


Please visit the Availity portal.

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Provider News


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.

Important notice - Podiatry services provided by Podiatry Network Solutions

Effective May 1, 2022, Podiatry Network Solutions will be the statewide subcontractor providing podiatry services to Simply and CHA members.

Trauma-informed care physicians training

Earn CME/CEU credit by accessing the Trauma Informed Care for Physicians training by June 30, 2022.

HIV and PrEP therapy

This notice is to remind providers that Simply and CHA follow the HIV therapy automated prior authorization logic and HIV/PrEP (pre-exposure prophylaxis) Clinical Criteria as posted on the Agency for Health Care Administration (AHCA) website. HIV medication therapy must have specific diagnosis codes in the medical history. For PrEP, providers must submit an AHCA HIV Diagnosis Verification Form or Prophylaxis for HIV Form.

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

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


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

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.

 
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.