Credentialing Resources
The Universal Provider DataSource (UPD)
• Login to the Universal Provider Database
• UPD Quick Reference Guide
• CAQH Best Practices
Sample Welcome Packet
• Sample CAQH Letter
• Credentialing Checklist
Resource Documents
• Integrated Massachusetts Application
• Sample HCAS Reference Letter
• Health Plan Contracting and Enrollment Required Documents List
• HCAS Provider Enrollment Form (MS Word)
• Enrollment and Credentialing Application Status Inquiries
Training Materials
• HCAS Credentialing Training Manual
Contact CAQH
• CAQH: www.caqh.org
• CAQH Helpdesk: (888) 599-1771
• CAQH Fax Number: (866) 293-0414
Provider Network Participation Inquiries
|
Health Plan
|
Department Name
|
Phone Number
|
| Blue Cross & Blue Shield of MA |
Network Management Services |
800-316-2583 |
|
Boston Medical Center HealthNet Plan |
Provider Processing Center |
888-566-0008 |
| Fallon Community Health Plan |
Provider Relations |
866-ASK-FCHP |
Harvard Pilgrim Health Care
www.harvardpilgrim.org/providers |
Provider Service Center |
800-708-4414 |
| Health New England |
Provider Contracting |
413-233-3210 |
| Medical Network Inc. (Med Net) |
Credentialing Department |
207-289-1040
Ext. 108 |
| Neighborhood Health Plan |
Provider Service Center |
855-444-4647 (4NHP) |
Network Health
www.network-health.org |
Customer Service |
888-257-1985 |
| Tufts Health Plan |
Contracting Department |
800-442-0422
Ext.2169 |
|