Resources
The Universal Provider DataSource (UPD)
• Login to the Universal Provider Database
• UPD Quick Reference Guide
Sample Welcome Packet
• Sample CAQH Letter
• Credentialing Checklist
Resource Documents
• Integrated Massachusetts Application
• Sample HCAS Reference Letter
• Health Plan Contracting and Enrollment Required Documents List
• HCAS Provider Enrollment Form (MS Word)
Training Materials
• HCAS Credentialing Training Manual
Contact CAQH
• CAQH: www.caqh.org
• CAQH Helpdesk: (888) 599-1771
• CAQH Fax Number: (866) 293-0414
Provider Network Participation Inquiries
Credentialing through HCAS does not guarantee participation in HCAS participating health plan networks. Providers seeking to affiliate with an HCAS participating health plan network must first contract with the individual health plan(s). All inquiries regarding provider contracting requirements should be directed to specific health plans using the contact information listed below.
|
Health Plan
|
Department Name
|
Phone Number
|
| Blue Cross & Blue Shield of MA |
Provider Relations |
800-316-2583 |
| Fallon Community Health Plan |
Provider Relations |
866-ASK-FCHP |
Harvard Pilgrim Health Care
www.harvardpilgrim.org/providers |
Provider Service Center |
800-708-4414 |
| Health New England |
Contracting Department |
800-842-4464 |
| Medical Network Inc. (Med Net) |
Credentialing Department |
207-773-5116
Ext. 108 |
| Neighborhood Health Plan |
Customer Care Center |
800-462-5449 |
Network Health
www.network-health.org |
Contracting Department |
617-806-8503 |
| Tufts Health Plan |
Contracting Department |
800-442-0422
Ext.2169 |
|