MultiPlan Medicare Advantage Network
Claritev’s provider network for access to Medicare Advantage programs
Get access to Medicare Advantage programs
Medicare Advantage Organizations that administer these programs use our network in defined geographic areas to supplement their own networks to provide greater access to quality affordable healthcare for their members. Note that Claritev does not process, reprice or pay Medicare Advantage claims.
Welcome Medicare Advantage Providers
Our network is your partner in delivering care to individuals participating in Medicare Advantage and related health plans.
Join the network
This application request applies to participation in the MultiPlan Medicare Advantage Network only. You may already participate in one or more of our PPO networks (e.g., PHCS, MultiPlan, HealthEOS, etc.) that serve privately-funded health plans, which are covered by a separate agreement.
Our Medicare Advantage Clients
Our Medicare Advantage clients have been approved by the Centers for Medicare and Medicaid Services (CMS) to administer Medicare Advantage programs in defined geographical areas. These clients manage all aspects of the plan including claim processing and payment. Note that Claritev does not process, reprice or pay Medicare Advantage claims.
Abilis Health FKA Signature Advantage
1-844-214-8633
www.signatureadvantageplan.com/abilis-health/
States: KY, TN
AllyAlign Health
1-804-396-6412
www.allyalign.com
States: AL, AZ, CA, CO, DE, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, ME, MI, MO, MT, NC, ND, NE, NJ, NY, OH, OK, OR, PA, SC, TN, TX, VA, WA, WI, WV
Independent Health
716-631-3282 or
1-800-736-5771
IndependentHealth.com
States: National Travel Network
Kaiser Foundation Health Plan of Washington
1-888-767-4670
https://wa-provider.kaiserpermanente.org/provider-support/provider-assistance
State: National Travel Network
Univera Healthcare
[email protected]
https://provider.universalhealthcare.com
States: National Travel Network
Vantage Health Plan, Inc.
1-888-823-1910
www.vantagehealthplan.com
States: AR and counties in the following bordering states: LA, MO, MS, OK, TN, TX
Wellpoint
(Formerly Amerigroup Medicare Advantage of Texas)
1-866-805-4589
Amerigroup Texas
States: TX
Working with the MultiPlan Medicare Advantage Network
Updating your information
Please promptly inform Claritev of any changes to your directory or other information.
- Click here to update your directory information.
- Centers for Medicare & Medicaid Services (CMS) requires Medicare Advantage Organizations to maintain information regarding network adequacy and availability. To support this requirement, Claritev asks all providers participating in our Medicare Advantage network to inform us of any changes to your provider directory information (e.g., street address, phone number, office hours) and whether you accept new patients.
Recognizing the Network
The Medicare Advantage ID card identifies the Medicare Advantage Organization and plan and may contain the MultiPlan Medicare Advantage (or Beech Street Network) logo. The Claritev network accessed by the Medicare Advantage Organization may be referenced in the claim reimbursement documentation.
Submitting Claims
- Submit claims as indicated on the member’s Medicare Advantage ID card.
- Inquiries regarding payment related issues should be directed to the payer identified on the ID card. It is the payer’s responsibility to ensure that payments are made in compliance with the program.
- Note that Claritev does not process, reprice or pay Medicare Advantage claims. Contact the payer listed on the member ID card for questions regarding claim payment.
Verifying eligibility
To verify eligibility, contact the payer as indicated on the patient’s Medicare Advantage ID card.
Required general compliance and fraud, waste and abuse training
The Centers for Medicare & Medicaid Services (CMS) and your MultiPlan Medicare Advantage Network provider agreement mandate all those contracted to provide health care services to Medicare Advantage beneficiaries must complete the applicable Medicare Advantage program compliance trainings.
Claritev’s code of conduct
Claritev ’s Code of Business Conduct and Ethics contains the legal and ethical standards of conduct required of all parties with which Claritev contracts. We expect all providers participating with Claritev to comply with our Code in every aspect of their business conduct.
Contact us
Contact our Government Business Service Center for issues related to your participation in our Medicare Advantage Network, such as:
- Questions about your participation status
- Changes to your demographic information
- Inquires about our credentialing criteria
- Copies of your provider contract
- Credentialing application submissions (W-9 required)
[email protected]
(Phone) 1-866-971-7427 (Fax) 630-799-3587
Claritev, ATTN: GBSC
16 Crosby Drive
Bedford, MA 01730
More information
Get more information about Claritev’s Medicare Advantage network.
Are you a payor? To learn more about Claritev, contact us.
Are you a patient? Please refer to your patient ID card for instructions on where to find program information about your healthcare plan, or visit our member page.