Providers
Need to submit a claim? Check on a payment? Find a form? Follow the links below.
Questions? Call us at 1-877-762-3515, 8am to 5pm.
Prior Authorizations
Referrals
Durable Medical Equipment
Before ordering durable medical equipment for our members, check our list of covered items for 2023. You can view our list of covered items for 2022 here. To place an order, contact Integrated Home Care Services directly:
- Phone 1-844-215-4264
- Fax 1-844-215-4265
Or if you're in Illinois or Texas, call us directly at 1-800-338-6833 (TTY 711)
Provider Trainings
Learn about Devoted Health, meet our team, and see our 2023 benefits by watching a recorded webinar.
CMS requires that providers who treat our SNP members complete the Model of Care training each year. Take the training here:
Improving Healthcare Quality
Use these guides and forms to help improve Star Ratings and the healthcare experience for your patients:
- Annual Care of Older Adults form
- Stars Cutpoint
- Understanding our Stars Ratings goals
- HEDIS Guide (2022): English | Spanish
- HEDIS Coding Quick Reference (2022): English | Spanish
- CAHPS Survey and Health Outcomes Survey Overview and Best Practices: English | Spanish
- Adherence Tip Sheet: English | Spanish
- Improving Statin Use for Diabetics: English | Spanish
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 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 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 Group. We offer virtual and home-based care.
Provider Directory and Formulary
Submitting a Claim
You have 3 options: 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 the next section 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.
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. Note: The list of services that require Prior Authorization may change for 1/1/2023.
- Learn how to determine patient eligibility
- Learn how to submit prior authorizations and referrals
- Learn how to view Stars performance and download reports
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
Part D Forms
Roster Updates
Use these templates to update your rosters. Please email your updates to provider-updates@devoted.com.
Compliance Policy & Procedures
Guidance for the COVID-19 Public Health Emergency
We're adhering to federal guidance during the current public health emergency. Learn about what that means for you and our members.