Provider Web Portal

On the provider web portal you can verify member eligibility, check claims status, request authorizations and referrals and more. You may register as a participating provider on the Clear Health Alliance Provider Portal by entering your Tax ID number and NPI as requested on the registration portion of the Provider Portal.

If you need assistance, please email us at provideradministration@clearhealthalliance.com.

You have a choice. Make yours today . . .

Choose a Medicaid plan with doctors who treat and understand your disease, with case managers to coordinate your care, and with additional benefits to help you live a healthier life.

To learn more about Clear Health Alliance, please call us toll-free at (877) 777-7871 or TTY 711 for hearing impaired. Our office hours are Monday through Friday, 8 a.m. to 7 p.m. You may leave us a message after hours, Saturdays, Sundays and holidays and we will call you back the next business day. All calls are private.

For information on how to enroll, click here.



Coordinated Care for Optimum Health
A dedicated team of leading HIV/AIDS physicians, caregivers and experts are the heart of Clear Health Alliance. Together they work with members to develop a treatment plan and coordinate services that match their needs.

Medical Policy Clear Health Alliance Medical Policy

Managed Medical Assistance (MMA) Provider Materials

Provider Forms

MMA Regional Provider Directories

ICD-10 News from Clear Health: click here

Provider Portal: click here 

Provider Services: (877) 915-0551

Beacon Health Options: www.beaconhealthoptions.com
Toll Free: 1-800-221-5487 Fax: 1-800-370-1116

MMA 2015 Cultural Competency Plan

Physician Cultural Competency Independent Training Module

For information about diabetes: www.diabetes.org

Claims Submission

SIMPLY PARTNERS WITH EMDEON ON NEW ELECTRONIC FUNDS TRANSFER AND VIRTUAL CREDIT CARD PROCESS!
Electronic submission (EDI)
        Availity: Simply Healthcare Plans Payor ID # 00199
        Emdeon: Simply Healthcare Plans Payor ID # 27094
For claims courier submissions, send claims to:
        Clear Health Alliance
        Smart Data Solutions
        960 Blue Gentian Rd
        Eagan, MN 55121
Paper submission
        Clear Health Alliance
        PO Box 21535
        Eagan, MN 55121

Clear Health Alliance Quick Reference Guide: Click here for more detailed information.

Provider Trainings

Continuing Medical Educational Opportunities

Florida Caribbean AIDS Education and Training Center:

For information about Florida/Caribbean AIDS Education and Training Center (F/C AETC), or to reqest training or a clinical consultation, please clinic on the link, www.fcaetc.org/events.

For information about Florida/Caribbean AIDS Education and Training Center (F/C AETC) project ECHO model (Extension for Community Healthcare Outcomes), or to reqest training or a clinical consultation, please clinic on the link, www.fcaetc.org/echo.
AAHIVM - American Academy of HIV Medicine:
The American Academy of HIV Medicine is a professional organization that supports the HIV practitioner and promotes accessible, quality care for all Americans living with HIV disease. Its membership of HIV practitioners and credentialed HIV Specialists provider direct care to more than three-fourths of HIV patients in the US. For more information about the American Academy of HIV Medicine, please clinic on the link, www.aahivm.org.

Fraud/Waste/Abuse   Help Us Stop Fraud, Waste and Abuse

Clear Health Alliance wants you to get the respect you deserve and the service you expect. When fraud and abuse happens, it hurts you, your doctors and everybody in the health care system.

  • Fraud - An intentional deception or misrepresentation made by a person or entity with the knowledge that the deception could result in some unauthorized benefit to him/herself, itself or some other person or entity. It includes any act that constitutes fraud under applicable federal or state law.
  • Waste - An intentional or unintentional, thoughtless or careless expenditures, consumption, mismanagement, use, or squandering of resources; to the detriment or potential detriment of entities, but without intent to deceive or misrepresent.
  • Abuse - Behaviors or practices of providers, physicians, or suppliers of services and equipment that, although normally not considered fraudulent, are inconsistent with accepted sound medical, business, or fiscal practices. The practices may, directly or indirectly, result in unnecessary costs to the program, improper payment, or payment for services that fail to meet professionally recognized standards of care, or which are medically unnecessary.

Things You Can Do to Stop Fraud, Waste and Abuse:

  • When you receive a bill or Explanation of Benefits (EOB), look at it closely. Check to see if the services on your bill are the ones you actually received. Make sure the date of your visit is correct.
  • Never give out or let anyone borrow your Clear Health Alliance Member ID number.
  • Do not share your medical records with anyone except your primary care provider (PCP), hospital or health plan.
  • Never ask your PCP for medical services or medicines you do not need..
  • If someone offers you free tests or services using your Clear Health Alliance Member ID card, beware! If you think it sounds too good to be true, you are probably right. Call member services 1-877-577-9043 for more information.

Remember, committing fraud is against the law. One way to stop it is to report it. To report suspected fraud, waste or abuse, call our Confidential Compliance and Fraud, Waste & Abuse Hotline at 1-877-253-9251 or you may email us, SIU@simplyhealthcareplans.com. Please click here to filled out a confidential FWA referral form.

We Can! Ways to Enhance Children’s Activity & Nutrition

We Can! is a national movement designed to give parents, caregivers, and entire communities a way to help children 8 to 13 years old stay at a healthy weight. For more information, click here.

Evidence Based Guidelines