Health Professionals Overview
Thank you for being part of the VNSNY CHOICE Provider Network. We appreciate all that you do for our members!
Have questions? We’re here to help! You can find answers to most of your questions on this page or by clicking on the tabs to the left. If there’s something you don’t understand or need more help with, just call Provider Relations. Or fill out our online contact form, which can also be found by clicking the blue “CONTACT US” button at the top right side of this page. We will get back to you as soon as we can.
This is your gateway to the digital tools, policies, guidance, and materials you and your staff need to deliver high-quality service to your patients and clients in VNSNY CHOICE health plans. We hope these resources make your experience as efficient and rewarding as possible.
Here in one PDF document, are answers to all your questions about VNSNY CHOICE policies and procedures concerning member care, claims, and authorizations, and everything providers should know about working with us.
You can view or download the entire VNSNY CHOICE Provider Manual (PDF).
Or you may download individual sections from the VNSNY CHOICE Provider Manual from the list below for quick access to the information you need.
If you’re looking for an easy way to find the forms and documents referenced in the Provider Manual, just use this list of Helpful Links for CHOICE providers.
Section 1 – Programs, Benefits, and Covered Services
Section 2 – Provider Networks
Section 3 – Eligibility and Membership
Section 4 – Regulatory and Quality Reporting Requirements
Section 5 – Primary Care
Section 6 – Delegated Vendor Operations
Section 7 – Ancillary and Other Special Services
Section 8 – Medical Management
Section 9 – Billings and Claims Processing
Section 10 – Grievances and Appeals
The Quick Reference Guide is a convenient resource when you have questions about the following:
• Member Services
• Medical Management
• Participating Labs
This list of helpful links for providers offers an easy way to find and access all of the forms and documents you will need as an in-network provider with VNSNY CHOICE.
Check patient eligibility and benefits and manage your claims.
This portal is for VNSNY CHOICE Health Plan providers. Follow the link, if you wish to access the VNSNY Physician Web Portal.
Participating PCPs and Specialists: Here’s a quick and easy way to let us know about changes to your demographic information!
Our partnership with HHAX is designed to streamline the ordering, fulfillment, and billing of paraprofessional services for CHOICE providers.