Resources For Providers
We want to make sure that you have additional resources to take care of our members. Below is a list of resources and links that you may find helpful.
Please click
here to access required provider training. Topics include:
- Fraud, Waste, and Abuse
- Member Rights and Responsibilities
- Provider Rights and Responsibilities
- Billing
- Grievances and Appeals
After completing the provider training, please complete the training acknowledgement form by clicking here. If you would like to request a face-to-face training, please call Provider Services at (808) 973-1650.
AlohaCare Advantage Plus is a dual-eligible Special Needs Plan (SNP). One advantage for members of SNP plans is the SNP Model of Care, which is an interdisciplinary care coordination program.
The following are links to resources related to the SNP Model of Care.
Click
here for more information about AlohaCare's credentialing process.
Click
here for more information about how to submit claims electronically
• Gateway also known as Trizetto
Phone Number: 800-969-3666
• Legacy also known as Hawaii X-Change & Administep
Phone Number: 888-751-3271 ext. 3127
Note: Office Ally submits claims via this clearing house vendor.
• Change Health
Phone Number: 866-817-3813
• ClaimRemedi
Phone Number: 866-633-4726
• NextGen
Phone Number: 1-800-426-3385
Below is a list of resources that you may find helpful. By clicking on any of the links below, you will be leaving the AlohaCare website.