USFHP has the following resources for providers:
|Important Pharmacy Information
|Important Utilization Updates
Benefit Update 9.14.12
Benefit Update 6.29.12
Benefit Update 7.18.12
|Important Information for Healthcare Providers
Provider Input and suggestions
Non-credentialed Healthcare Provider Specialties
Provider Demographic Change Form
|US Family Health Plan Benefits
To find out whether a healthcare service is a covered US Family Health Plan benefit, click here.
Provider Chronicle, Spring 2013
Provider Chronicle, Fall 2012
Provider Chronicle, Summer 2012
|Member Eligibility / Claim Status
To check Member Eligibility, Claims Status or Authorization Status (via the internet using E Power) click here, or via our Fax Recall System by dialing 212-868-9447.
|Provider Quick Reference Guide
To print the Provider Quick Reference Guide (PDF document), click here.
|Outpatient Referral Form
Contact our utilization review department at 866-390-0933 (phone) or 866-813-1722 (fax) to precertify ALL services except outpatient PT and OT.
Contact Health Integrated to pre-certify services, or to obtain a listing of behavioral health providers at 866-390-0933. For more information on Health Integrated visit their website at www.healthintegrated.com
Contact Apria at 800-294-2275 for most non-customized DME, ambulatory assistive devices, home oxygen and home respiratory equipment.
All lab work should be referred to Labcorp with the exception of In-office Stat Procedures. For a listing of allowed In-office Stat Lab Procedures, click here. To obtain a listing of Labcorp Patient Sevice Centers contact Labcorp at 800-788-9091, or visit the Labcorp web site at www.labcorp.com.
|Physical Therapy/ Occupational Therapy
To precertify outpatient PT/OT services contact Orthonet at 800-401-0062. For more information on Orthonet, visit their website at www.orthonet-online.com.
To download information on pre-authorization requirements, click here.
To download information on Categories of Prescription Drugs with Quantity Limits, click here.
To down load a list of injectables, which require pre-authorization and are available from Maxor Mail Order, click here.
To download information on Tier 3 (Non-formulary brand name medications), click here.
To download information on TRICARE Uniform Formulary exclusions, click here.
To download the Brand Name Request form (providers only), click here.
To download the Quantity Override Request form (providers only), click here.
For additional pharmacy information, contact Maxor Plus at 800-687-0707 or visit their web site at www.maxor.com.
|Claims and Billing Information
US Family Health Plan at SVCMC
PO Box 830745
Birmingham, AL 35283-0745