Provider Education

Commercial ID Cards – Get a look at the ID cards you will see from our members
Care Complement – Read more about the unique benefits from our innovative Care Complement program
Pediatric sick visits – Read more about our new pediatric sick visit benefit for 2020
My Care Family – Visit the My Care Family website for more information about our Medicaid ACO line of business
Allies HMO – Visit our Allies HMO page for information about our product provided in partnership with Newton-Wellesley Hospital
AllWays on Teams – Our free virtual visit platform available to all AllWays providers

Video: Registering for the portal – Watch this brief training on how to register for our provider portal
5-step registration guide - This quick reference guide outlines the registration process in 5 easy steps
User administrator form – Complete this form to become a user administrator for your practice
Provider portal user guide – This user guide gives you a full breakdown on all the provider portal capabilities
Video: Checking member eligibility – Watch this brief training on how to verify member eligibility

Authorization guidelines – Find out which services requires authorizations and referrals
New: Authorization Enhancements – Beginning 10/26/20, immediate approval for covered, medically necessary outpatient requests
Authorization Process for High-Tech & Cardiac Imaging - Speed up authorization approvals and reduce your administrative burden with these 5 tips.
DME guidelines – Learn more about our DME authorization requirements
Fax coversheet – If you fax clinical documentation, follow these instructions to obtain a fax coversheet
Denial reconsiderations – Learn more about your options before filing an appeal

User Guides

Claims infographic – Find out what happens behind the scenes when you file a claim

Claims information page – Useful information on find out where to send your claims to
Video: Checking claims status – Watch this brief training for a look at how to verify the status of your claim
Payment guidelines – Our payment guidelines provides information on what is reimbursable and under what conditions
Unlisted codes – Learn more about the process for requesting reimbursement for unlisted codes

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