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Together, I know we are helping to improve our communities by facilitating the delivery of quality, coordinated care., Javascript must be enabled for the correct page display, Review claims and relevant plan activities, Single point of entry for Premium Network providers, Houses all value-based program information. A: Please visit the Whats new in 2022 page on the myBenefits site to view important updates, including plan design changes and a link to the new myMedical site outlining the changes to provider networks for all three team member plans and the third-party administrator for the Value and Buy-up plans. As an We offer an array of collaborative opportunities for community-based physicians to partner with us in this transformation. Brighton Health Plan Solutions,LLC. This change does not impact any other benefit plan for Value, Buy-up and HDHP. Please log in again, or close to continue. Please log in again, or close to continue. A: For team members and dependents currently undergoing specific medical services (e.g., a scheduled surgery, continuation of maternity and delivery care, chemotherapy) utilizing a provider that is not in-network, Brighton will work directly with you to be considered for continued care with that dedicated provider until April 1, 2022, and for maternity care until July 1, 2022. This marks the first time the states largest private employer has chosen direct network contracting, a health benefits approach that enables businesses to offer their workforce access to high-quality care without engaging with a traditional insurance company. Copyright 2023 NorthwellHealth. A: Whether you are on the Value, Buy-up, HDHP or union-sponsored plan administered by Northwell, you can now search for in-network doctors, and other healthcare providers and facilities, all in one place. That's why Northwell Health Labs createdLabFly, an innovative app that lets you easily schedule a blood draw for you or a loved one. Premium Provider Portal Login Premium Provider Portal Login Single point of entry for Premium Network providers Secure, HIPAA compliant Houses all value-based program information Contact (800) 381-6140 or ciipa@northwell.edu for help The healthcare delivery and payment landscape is shifting. (833) 259-2367. Northwell Health has selected Northwell Direct to supply the provider network for the health system's 2022 healthcare benefits for about 75,000 employees and dependents, eschewing the traditional approach of teaming with a private insurer. There are increased costs if you visit the Tier 2 networks, but if the provider does not participate in either the Northwell Direct, MagnaCare or CIGNA networks, they are considered a non-participating provider (also called an out-of-network provider). We transitioned from UnitedHealthcare to Brighton Health Plan Solutions (Brighton) as a plan administrator to administer and manage medical plan aspects such as claims processing and more. Quick links Pay a bill FollowMyHealth For professionals Make an appointment Connect Contact us Ways to give Volunteer The Well by Northwell About FAQ Jobs Newsroom Northwell Health Physician Partners Policies Corporate compliance Notice of non-discrimination & accessibility The customized set of solutions will include COVID-19 testing, round-the-clock coronavirus guidance and access to additional clinical services. The direct-to-employer option is a powerful new way for businesses to maximize the quality of their benefits program while controlling costs.. Team members on the Value, Buy-up, HDHP or union-sponsored medical plans administered by Northwell do not require referrals when utilizing the Tier 1 and/or Tier 2 provider or facility networks. Our 36,000-square-foot microbiology laboffers state-of-the-art automated microbiology testingwhich means our skilled technologists can focus less on manual tasksand more on new testing technology. LabFly is so easy to use and kid-friendly. The Northwell Health Premium Network is an integrated group of 5,900 physicians who work together to deliver high quality, coordinated care for defined patient populations. In addition, where specified in our plan summaries, Tier 1 providers/facilities must be used in NY/NJ for the below services: A: If you or your dependent need to use a provider outside of the New York and New Jersey area, you will use the Tier 2 CIGNA network to find in-network providers and facilities. Direct contracting is gaining traction in what is seen as a lower-cost alternative to traditional health insurance. We can improve team member experience by using Brighton for claims processing and customer service, and the Northwell Direct network for expanded access to a comprehensive network of high-quality providers to members living in areas not currently covered by our Tier 1 providers. The network is composed of community-based and employed physicians with the common goal of improving quality while . Seventy percent of medical decisions are based on lab results. 1421 3rd Avenue. Owned by Northwell Health, New York States largest health care provider and private employer, Northwell Direct uses an integrated health care management approach to help employers bend the cost curve, improve productivity and keep their employees and customers healthy. A: Northwell offers three medical plans, Value, Buy-up and the HDHP. For 2022, the Tier 2 network for all states outside of New York and New Jersey for HDHP is changing from First Health to CIGNA. Lab results can be received by phone, email, mail, fax, or in person four days after your lab work has been completed. Urgent Care. Log on to our provider portal to research fee schedules, check your participation status, check member eligibility, and more. Locations at a Glance: Ambulatory Surgery Centers -. Thats why weve made it easy for you to get your lab results, so you can get valuable insight into your personal health. tax-deductible as allowed by law. A: In the event of a medical life-threatening emergency, you should go to the closest emergency room. Please refer to your health insurance ID card to select the appropriate network. With this increased availability, there are more areas that were previously considered OOA now determined as in-area. official 501(c)(3) nonprofit organization, your gift is Return the application by email or by post. CoreConnect is simple to install, customer-friendly and supports Centers for Medicare & Medicaid Services meaningful use stage 2 regulatory requirements. Call (844) 364-8108 for questions and technical support. Our traditional open access network Search MagnaCare Providers You can also purchase discounted malpractice insurancethrough our agreement with MLMIC Insurance Company. A wrap-around network is available for employees or dependents who need to access care out of state, as may be important for a family member attending college outside New York and New Jersey. Copyright 2023 NorthwellHealth. Want to hear for yourself how were helping employers fulfill all of their employees health care needsall while saving money on health insurance? Whenever you download a file over the Internet, there is always a risk that it will contain a security threat (a virus or a . Online websites and applications may vary how they list and identify the plan. We offer an array of collaborative opportunities for community-based physicians to partner with us in this transformation. tax-deductible as allowed by law. Since Northwell Direct launched in 2020, it has provided a wide variety of customizable health care programs and services to large national and regional employers. A: No. Northwell Directs provider network comprises nearly 20,000 physicians in the New York metropolitan area, including not just Long Island, Queens, Staten Island, Brooklyn and Manhattan but also New Jersey and Bronx and Westchester counties. Plus, my kids are much more at ease in their own home with the help of the kid-friendly technician who came. Whether youre at home or work, our lab experts come to youon Long Island, and soon, all five boroughs and Westchester. On behalf of moms everywhere, thanks LabFly! Northwell Health Labs offers comprehensive services and support for physicians, including those who are not a part of Northwell Health. A: Please sign up on Northwell.edu/myMedical where you can search for providers and facilities, view and share your digital ID card, review claims and your Explanation of Benefits (EOBs) and check coverage and benefits. official 501(c)(3) nonprofit organization, your gift is I just made the appointment and LabFly took care of the rest. With 100,000 square feet of space, state-of-the-art technology and highly skilled laboratory technicianscurrently our lab processes about 30,000 tests each day. Still there? Aarons, Danielle N. PA Family Medicine 3001 Expressway Drive North Islandia, New York 11749 Phone: (631) 439-0600 Huntington Hospital Abad, Grace APN Nurse Practitioner 110 Rehill Avenue Somerville, New Jersey 8876 Phone: (908) 685-2200 Waiver disclosure, Premium Network providers are shaping the future of medicine, one patient at a time. MagnaCare makes the claims process as simple as possible, and offers online tools and a dedicated provider support team of network specialists who are on hand to answer your questions. Call 1-866-250-8679 or fill out the form below. CIGNA is the Tier 2 network outside of New York and New Jersey. Please provide the following information so that we can submit your insurance claim: For help submitting an insurance claim, call the Financial Assistance Unit at (888) 214-4065. A wrap-around network is available for employees or dependents who need to access care out of state, as may be important for a family member attending college outside New York and New Jersey. Premium Network members are eligible to participate in various commercial value-based plans and our Medicare ACO. NEW HYDE PARK, N.Y.--(BUSINESS WIRE)--Northwell Direct today announced that it has been selected by Northwell Health to supply the provider network for the health systems 2022 health care benefits for approximately 75,000 employees and dependents.1 Northwell Direct is a for-profit entity which delivers direct-to-employer solutions for all types of businesses. Laboratories -. Within 48 hours, our team will email you our contracting packet that includes the standard individual contract, application, and sample fee schedule. Thank you, LabFly! New Yorks largest ACO a collaboration between employed and voluntary physicians improving care for Medicare beneficiaries. As a health care system that is also the largest private employer in New York State, Northwell Health has a unique perspective on the importance of providing employees easy access to the highest quality medical care while also keeping costs manageable and predictable, said Joe Moscola, PA, Northwell Healths executive vice president, enterprise services. With LabFly coming to our home, it surrounded them with familiarity and lowered their anxiety. With Northwell Direct, you're getting a full spectrum of employer health services customized for your specific business needs at a cost that's more sustainable for youbut more important, you're getting exceptional care for the employees that make everything possible. Garden City, NY 11530. If you need clarification on a patients coverage, contact Provider Services at 800.352.6465. If you need to schedule a visit for your patient prior to your LabLogix account setup, click the appropriate link below to download our Mobile Lab Service Request Form: To learn more about Northwell Health Labs physician services or to setup an account for specimens to be picked up at your practice call. For your protection your session is about to timeout.Would you like to stay logged in? Notice of non-discrimination & accessibility. ldavis9@northwell.edu, Internet Explorer presents a security risk. The best part? Premium Network members are eligible to participate in various commercial value-based plans and our Medicare ACO. A: For team members part of the Value, Buy-up and HDHP, you should identify that you are a Northwell team member that accesses the Northwell Direct network administered by Brighton Health Plan Solutions when speaking with your in-network provider or facility. Contact [emailprotected] for assistance. Each insurance carrier has their own filing time limits, so please provide this information as soon as possible. The Tier 1 network will always be more cost-effective for you than the Tier 2 network. MSSP public reporting Please log in again, or close to continue. I needed routine blood work completed, but COVID-19 was a concern at the time, so I decided to try LabFly. With our direct-to-employer network contracting model, were proud to give businesses the opportunity to increase ease and efficiency while engaging a provider network thats unrivaled for quality.. As a busy working mom, its so much easier to book appointments around our schedules. With productivity and collaboration increasing, working remotely during the pandemic unveiled many valuable lessons for what's ahead. Graduate nursing and physician assistant studies, Notice of non-discrimination & accessibility. I didnt have to travel or find a sitter for my other child. In a move designed to control costs while providing unfettered access to top-notch care, Northwell Directs selective network was constructed specifically to meet the needs of employers with employees and dependents in the tristate area. Log on to our provider portal to research fee schedules, check your participation status, check member eligibility, and more. Please contact the provider's office for details. JetBlue and Northwell Direct partner to provide long-term COVID-19 health solutions, Northwell Direct offers COVID-19 testing, suite of health care services for New York employers, Notice of non-discrimination & accessibility. This allows the laboratory to immediately process the specimen with no further intervention, resulting in faster turn around times and reduced errors. MagnaCare Our representatives are available to schedule your appointment Monday through Friday from 9am to 5pm. A: The Northwell Direct network** became effective on Jan. 1, 2022, and is the Tier 1 network for our team member Value and Buy-Up medical plans replacing the Northwell Clinical Integration IPA (CIIPA) network. tax-deductible as allowed by law. Critical Care Medicine - Surgery Hospital Affiliations: Information not available. official 501(c)(3) nonprofit organization, your gift is 1 Northwell Directs provider network is provided through Northwell Direct Administrative Services Organization, Inc. Lisa Davis Please contact the provider's office for details. About Northwell Health ACO For some clients, we also arrange payments. Our lab does not perform COVID-19 PCR (nasal swab) testing on children under 5. A: Team member care has always been our top priority, and by partnering directly with Northwell Direct, we believe we can provide care directly to our team members without an intermediary through the Northwell Direct network. A: Yes. We are Northwell Healthand together, we're raising the standard of health care. Services include training for office staff members and interfaces to connect an offices electronic medical record (EMR) system to the laboratorys system. We are Northwell Healthand together, we're raising the standard of health care. As an You will speak with a triage expert who will evaluate your symptoms and when appropriate connect you with one of our Emergency Medicine physicians to help decide next steps of care. Northwell Directs Nick Stefanizzi and Joe Moscola discuss in our 20-Minute Health Talk. 205-542-8053 The healthcare delivery and payment landscape is shifting. Information empowers patients. The direct-to-employer option is a powerful new way for businesses to maximize the quality of their benefits program while controlling costs.. A: No. Need to update your information? We are not an insurance company. If you choose to use providers that are out-of-network you will pay significantly more. For your security, weve logged you out. Brighton is used for claims processing and customer service while the new provider and facility network in the New York and New Jersey area is the MagnaCare network. Northwell Direct today announced that it has been selected by Northwell Health to supply the provider network for the health systems 2022 health care benefits for approximately 75,000 employees and dependentsNorthwell Directs provider network is provided through Northwell Direct Administrative Services Organization, Inc. Northwell Direct is a for-profit entity which delivers direct-to-employer solutions for all types of businesses. Westbury, NY 11590, MagnaCare Copyright 2023 NorthwellHealth. The leading provider of physician lab order entry and results reporting, CoreConnect is a web-based application that connects physicians to the Northwell Health Labs patient database. If you would like assistance with identifying a current Tier 1 provider or are interested in nominating a provider to be evaluated for Tier 1 network participation, please call member services at (855) 340-7737. (833) 259-2367. Along with individual patient results, the portal also provides test descriptions, results trending and results graphing. Still there? OVERVIEW | MEDICAL PLANS | SUPPORT. For your protection your session is about to timeout.Would you like to stay logged in? Waiver disclosure, Premium Network providers are shaping the future of medicine, one patient at a time. Northwell Health Labswhere diagnosis begins, Excellence in microbiologyClinical Laboratory of New York. Still there? If you have health insurance through your employer, or if you have an individual policy, we can help you by submitting your insurance claim on your behalf. For a Northwell ambulance, call For a Northwell ambulance, call It works with JetBlue Airways to provide a comprehensive set of COVID-19 solutions for the airlines local workforce. For your protection your session is about to timeout.Would you like to stay logged in? With our direct-to-employer network contracting model, were proud to give businesses the opportunity to increase ease and efficiency while engaging a provider network thats unrivaled for quality.. Please contact the provider's office for details. See what people are saying about their experiences. Insurance information Primary insurance coverage Carrier name Identification number Policy holder's first name Policy holder's last name Phone: (551) 214-3500 Please contact provider's office for affiliation information. In-network provider and facility coverage In-network provider and facility coverage Together, I know we are helping to improve our communities by facilitating the delivery of quality, coordinated care., Javascript must be enabled for the correct page display, Review claims and relevant plan activities, Single point of entry for Premium Network providers, Houses all value-based program information. To receive a free copy of your recent lab test results, simply download theAuthorization for Release of Health Information formand send the completed form to the Laboratory Services Center. Physician portal Northwell Health Labs Portal (powered by MphRx) is an online portal that allows physicians to view results at the individual patient level. A: The TPA for union-sponsored plans administered by Northwell changed from UnitedHealthcare to Brighton as a plan administrator on Jan. 1, 2022.

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