Bright HealthCare Provider Resources

Let's make healthcare better, together.

Need to look up a member ID?

Use our Member Lookup Tool for Individual & Family plan members.

For Medicare Advantage plan members call 844-223-8380.

Recently contracted with Bright HealthCare?

Once you have already contracted to join the network, check out our information on credentialing, managing your provider data and other resources to get you up and running with Bright HealthCare.

Get Started

Additional Provider Resources

Claims and Payment

Find information on how to set up payment accounts and how to submit, track, and manage claims

Claims and Payment

 

Utilization Management

For more information on Bright HealthCare's clinical programs, including prior authorizations and how to refer your patients for case management.

Utilization Management

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The Bright HealthCare Provider Portal

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A Faster Way

Looking for the fastest way to check patient benefits, submit a claim, or an electronic prior authorization? Bright HealthCare uses Availity.com as a Provider Portal to connect with your practice in a protected and streamlined way.

If you need assistance with your Availity account, call the Availity Client Services team at 1-800-AVAILITY.

Join the Bright HealthCare Network

We create real savings and then pass them onto you.

Bright HealthCare is dedicated to creating the best in class provider service network. Use the "Join the Network" link to get in touch with one of the members of our contracting team.

Why Join?

 

No Referrals

No referrals for in network-specialists or facilities means lower administrative burden for you.

 

Claim Turnaround

Fast Payment on claims, aiming to beat industry averages and regulatory standards by 10% or more.

 

The Personal Touch

Local dedicated resources are always available to assist in managing Bright HealthCare members.