Welcome to Bright HealthCare

We're excited to work together to make healthcare better. Together. Here's what you need to get started.

 

Return to Resources Home

 

Sharing or Updating Provider Data

 

After contracting with Bright HealthCare, completion of the Provider Roster Template is the next step in adding your providers to the Bright HealthCare Network.

Any changes to your practice (providers or service locations) should be submitted on the standard roster template when appropriate. Please review the Provider Resource Guide located on Availity for more information.

 

Credentialing

 

Frequently Asked Questions:

Q: How long does the credentialing process typically take?

A: Credentialing typically takes between 60-90 days from the time a provider roster is received to the time a provider is reviewed at Credentialing Committee. Ensuring a provider’s CAQH profile is updated, that Bright is authorized to access a CAQH profile, and that roster data is submitted accurately all will help reduce processing time. A provider(s) is no longer with our group or his/her information has changed, can Bright update the provider within its system? The easiest way to have changes (of any kind) to your provider roster reflected is to re-submit your roster with the relevant changes inputted. For Terms, please ensure you include a “Term Date” in the respective field.

 

Q: How do I receive an update on provider loading and/or credentialing status?

A: If you would like to know the status of your providers being loaded into our system, please email to the provider data inbox specific to your state (providerdata@brighthealthplan.com). If you would like to know the credentialing status of your providers, please email credentialing@brighthealthplan.com.

 

Q: When will providers receive confirmation of in-network status?

A: Providers will receive a letter in the mail when they have passed credentialing. Please note that providers cannot see Bright HealthCare members until they have passed credentialing and have reached their contract effective date.

 

Q: When can I start seeing patients?

A: Providers can only start seeing Bright HealthCare patients after they’ve been credentialed. In the case of direct credentialing that will be when they receive a Pass credentialing notification.

 

Q: What if I’m not contracted with Bright HealthCare?

A: Please submit our form to Join the Network

 

Provider Finder

 

Helping your Bright HealthCare patients stay in-network is easy! Find in-network care for your patients using the Bright HealthCare Provider Finder.

 

Provider/Practice Resources

Everything you need to see Bright HealthCare members. Download and share with your practice staff.

 

View our 2021 Welcome Guide:

English

Spanish

View our Sample IDs

Individual and Family Plans Sample ID

Medicare Advantage Plans Sample ID

 

View our 2021 Quick Reference Guide

Quick Reference Guide

 

State Specific Resources

DSNP training

 

Additional Questions?

 

Contact Bright HealthCare Provider Services:

Individual and Family Plans call 866-239-7191

Medicare Advantage Plans Call 844-223-8380