- Quality Review Process
- Screening Tools
- Case Management Resources
- Utilization Management Information
- Affirmative Statement About Incentives
- Credentialing Information
- Clinical Practice Guidelines
- Medical Necessity Criteria
- Provider Network
BHPI offers providers increased member referrals from the community.
Online tools to support our providers and help them improve efficiency (claims submission, eligibility and service verification, provider manuals, forms, and provider and facility search).
Providers get access to a designated Provider Relations representative. Reps can be contacted directly. Members also get 24-hour member services support.
We offer access to several tools to help providers monitor their patients and their practice. Analytics & reports Provider Report Cards Member satisfaction surveys
EASE & SPEED
Our authorization process is user-friendly and our claims payment process is quick and accurate and includes electronic funds transfer (EFT).
Providers have the ability to choose which panel or contract type best suits their practice – HMO, PPO, EAP. Providers can choose all, a combination, or just one, depending on business needs.
Email blasts, provider newsletters, regularly posted online updates and announcements keep our providers in touch with us and with news and events that are important to the industry.
Training and workshops, technical assistance, and other how-to resources available and accessible.