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Provider Education
At JHHC, provider education plays a core role in our collaborative relationship with the facilities and practices in our network. The training presentations below supply relevant and timely information to providers and staff about the health plans we offer at JHHC.
The training presentations give an overview of JHHC and our individual product lines as well as providing updated information on changes and additions to our plans. The presentations also outline the claims, referral, and appeals processes, and lists important numbers and resources for provider inquiries and support.
JHHC eviCore Lab Management Provider Orientation Presentation
JHHC eviCore Lab Management Provider FAQs
JHHC eviCore Radiology and Cardiac Imaging Provider Orientation Presentation
JHHC Monthly Provider Orientation - All Product Lines
JHHC NovoLogix Prior Authorization Training for Providers
Provider Education Presentation - All Product Lines
ProgenyHealth Provider Education Presentation - All Product Lines
ProgenyHealth Provider Education Presentation (Fact Sheet) - All Product Lines
Advantage MD Provider Education Presentation
Advantage MD Provider Education Presentation - D-SNP (HMO)
EHP Provider Education Presentation
Priority Partners Provider Education Presentation
USFHP Provider Education Presentation
Required Cultural Competency Training for Priority Partners
Cultural competency training is a requirement for participating providers in the Priority Partners network. HHS offers A Physician's Practical Guide to Culturally Competent Care, a free, online educational program accredited for physicians, physician assistants, and nurse practitioners. This HHS website offers CME/CE credit and equips health care professionals with awareness, knowledge, and skills to better treat the increasingly diverse U.S. population they serve. Once you have completed the training please fax a copy of your certificate to 410-424-4604.
Job Aids
Process for Authorization Requests to a Skilled Nursing Facility (SNF)
Optum Claim Edit System (CES)
HealthLINK Job Aids
Provider Clinical Appeal Submission Web Form
Johns Hopkins Prior Authorization Lookup Tool (JPAL)
Provider Payment Dispute Web Form in HealthLINK