Providers
At Devoted Health, we want to make it easy for you to care for our members. On this page, you'll find all the resources to help you do that, from provider guides and referral lists to detailed instructions on how to use our portal.
For information about authorizations, referrals, claims status, and more, visit our provider portal.
Questions? Call us at 1-877-762-3515, 8am to 5pm.
Provider manual
Plan documents
Provider learning center
Get resources for Availity, our Provider Portal, authorizations, member eligibility, and more.
Improving healthcare quality
Use these resources to improve Star ratings and the healthcare experience of your patients.
Using Availity
- Log in to Availity to submit claims, check member eligibility, enroll for Electronic Remittance Advice (ERA), access electronic versions of Explanation of Payments (EOPs), and request referrals and prior authorizations.
- New to Availity? Register and get started.
- Use our Provider portal training library to get training resources for Availity, our Provider Portal, authorizations, referrals, member eligibility, and more.
Claims
You have 3 options to submit claims to us: Change Healthcare, Availity, or paper claims.
Change Healthcare
You'll need to work with your practice management system to connect to Change Healthcare.
Availity
You can use Availity to submit claims, referrals, and more. See our claims resources for detailed instructions. .
Paper claims
We suggest submitting your claims electronically through Change Healthcare or Availity. If you'd rather use paper claims, here's the data you'll need:
Make sure to send your paper claims to:
Devoted Health, Inc.
Claims
PO Box 211524
Eagan, MN 55121
Send any mail via USPS to ensure delivery. Some mail carriers don’t deliver to PO boxes.
Checking Claims Status
You can use the Devoted provider portal to check claims status and submit an electronic dispute. View our claims resources.
Credentialing
Practitioner Credentialing
Practitioner credentialing is initiated once a contract is executed and the practitioner is loaded into our system. We utilize CAQH applications to complete credentialing. To avoid delays in the credentialing process, please ensure the following:
- The CAQH profile is complete and contains all required information (including current malpractice insurance)
- Devoted Health is authorized to access the application
- Application has been re-attested within the past 120 days
Facility & Ancillary Provider Credentialing
The credentialing application can be used to send us facility and ancillary provider credentialing information once your group is contracted with us. Instructions are included in the application. You can find the application in Availity under Devoted Health's payer space. If you are not yet contracted and would like more information on how to be, please visit your state's resources at the top of this page.
Durable medical equipment
Before ordering durable medical equipment for our members, check our list of covered items for 2023. To place an order, contact Integrated Home Care Services directly:
- Phone 1-844-215-4264
- Fax 1-844-215-4265
- Integrated Home Care Services referral guide
Or if you're in Alabama, Illinois, or Texas, call us directly at 1-800-338-6833 (TTY 711)
Payspan
- Log in to Payspan to register for EFT and download and print electronic versions of Explanation of Payments (EOPs)
- Find out how to register for Payspan
Provider directory and formulary
Referrals & Prior Authorizations
Referrals
Prior Authorizations
Get faster PA responses by following these guidelines.
Follow our prior authorization process for post-acute care.
Part D forms
Roster updates
Use these templates to update your rosters. Please email your updates to provider-updates@devoted.com.
Working with Devoted Health
- What can you say about our plans to patients? We’ve made a handy cheat sheet that can help with that.
- View our Devoted partner guide to learn about our delegated partners and how to work with them
- View our clinical guidelines for best practices for managing chronic diseases
- View our in-office lab list to find out which lab tests you can do in your office
- Learn about sharing discharge summaries with us
- View our payment policies
- View our guide for treating PPO plan members as an out-of-network provider
- Looking for ways to improve your CAHPS score? Consider implementing some of these best practices.
- Learn more about Devoted Medical. We offer virtual and home-based care.
- Learn how our dental debit card works.