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.
Select your state below to find essential info on our health plans, including requirements for referrals, prior authorizations, durable medical equipment and more.
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.
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
- 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
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
- HEDIS Guide (2022): English | Spanish
- HEDIS Coding Quick Reference (2022): English | Spanish
- CAHPS Overview and Best Practices: English | Spanish
- Health Outcomes Survey Overview and Best Practices: English | Spanish
- Adherence Tip Sheet: English | Spanish
- Improving Statin Use for Diabetics: English | Spanish
Provider Directory and Formulary
Submitting a Claim
You have 3 options: Change Healthcare, Availity, or paper claims.
You'll need to work with your practice management system to connect to Change Healthcare.
You can use Availity to submit claims, referrals, and more. See the next section for detailed instructions.
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.
PO Box 211524
Eagan, MN 55121
Any claims sent to our older Waltham, MA address may be returned as undeliverable.
- Log in to Availity to submit claims, check member eligibility, enroll for Electronic Remittance Advice (ERA), and request referrals and prior authorizations. Note: The list of services that require Prior Authorization may change for 1/1/2022.
- Learn how to determine patient eligibility
- Learn how to submit prior authorizations and referrals
- Learn how to view Stars performance and download reports
Part D Forms
Download for Printing
Use these templates to update your rosters. Please email your updates to email@example.com.