Provider Frequently Asked Questions

Q: How do I become a provider within the JHHC network?

A: We would be honored to include your practice within our provider network. Contact our Provider Relations Department at 888-895-4998 or 410-762-5385, or review our list of Network Managers, and contact your area representative

Q: How long does a claim take to process once it is submitted?

A: Approximately 30 days from the time we receive your claim. Want to get paid even faster? Did you know that Johns Hopkins HealthCare now offers electronic payments to its providers? Electronic Funds Transfer (EFT) is easy to set up and once complete guarantees a quicker reimbursement. For more information e-mail electronicpayments@jhhc.com or call 888-895-4998 today.

If you need information on NPI: National Provider Identification, click here.

Q: What is MCNET?

A: McNet is an online system through which you can submit information to us that need to be processed (i.e. claims, authorizations and referrals). To access or sign-up for McNet, visit www.jhhcmcnet.com.

Q: What happens if I forget my MCNET login?

A: Contact our Provider Relations Department at 888-895-4998 or 410-762-5385.

Q: Do all drugs need Prior Authorization?

A: Certain medications require prior authorization before coverage is approved to ensure medical necessity, clinical appropriateness and/ or cost effectiveness. Coverage of these drugs is subject to specific criteria approved by physicians and pharmacists on the Johns Hopkins Health Care Pharmacy and Therapeutics Committee. To see a list of drugs that require prior authorization, visit the pharmacy sections for EHP, Priority Partners or US Family Health Plan.

Q. What is HealthLINK@Hopkins?

A: HealthLINK is a secure, online web portal for Johns Hopkins Employer Health Plan (EHP), John Hopkins US Family Health Plan (USFHP) and Priority Partners MCO members and their in network providers. As a provider, you can check patient eligibility, claims status, submit and check the status of referrals and authorizations, run patient reports, send secure messages to Customer Service and more. To sign up for an account, contact Provider Relations at 1-888-895-4998.