Practices improve patient access using NPs and PAs

Does your practice have nurse practitioners (NPs) or physician assistants (PAs)? If yes, add them to your health plan agreement as providers in your group. Why is this important? Adding NPs and PAs to our network will improve timely access to care for our members. Once added to your agreement, you can bill for services NPs and PAs provide to members by submitting claims using the rendering practitioner’s name and NPI.

To add NPs and/or PAs to your agreement, complete the steps below:

1. Ensure your provider data on the Council for Affordable Quality Healthcare (CAQH) is current and in a complete or re‑attested status.
2. Start the Digital Provider Enrollment (DPE) application process through Availity Essentials at https://Availity.com > Select State >Payer Spaces > Select your Payer Tile > Provider Enrollment and Network Management.

Note: While nurse practitioners and physician assistants can treat our members within a contracted physician practice, they cannot independently practice under their own health plan agreement at this time.

Contact us

Availity Chat with Payer is available during normal business hours. Get answers to your questions about eligibility, benefits, authorizations, claims status, and more. To access Availity Essentials, go to https://Availity.com, log in, and select the appropriate payer space tile from the drop‑down. Then, select Chat with Payer and complete the pre‑chat form to start your chat.
 
For additional support, visit the Contact Us section of our provider website for the appropriate contact.