Below outlines the plan design changes to our Value, Buy-up and HDHP for 2022. We transitioned from UnitedHealthcare to Brighton Health Plan Solutions (Brighton) as a plan administrator to administer and manage medical plan aspects such as claims processing and more. Please consult with your pediatrician if you have any questions. Search for a provider in the Northwell Direct Network. For your security, weve logged you out. A: Please sign up for the member portal at Northwell.edu/myMedical to access your digital ID card, review claims and Explanation of Benefits (EOBs), check coverage and benefits, and continue searching for providers and facilities. Click here to view which zip codes are now in-area and OOA. For more information on Northwell Direct, visit Northwell.edu/direct. If you need to schedule a visit for your patient prior to your LabLogix account setup, click the appropriate link below to download our Mobile Lab Service Request Form: To learn more about Northwell Health Labs physician services or to setup an account for specimens to be picked up at your practice call. A: Providers are continually being evaluated for participation within the Northwell Direct network. This service helps put young minds at ease while saving time and energy for parents and caretakers. The best part? Photo credit: Northwell Health. Call 1-866-250-8679 or fill out the form below. For some clients, we also arrange payments. Premium Network members are eligible to participate in various commercial value-based plans and our Medicare ACO. Please contact the provider's office for details. ldavis9@northwell.edu, Internet Explorer presents a security risk. With 100,000 square feet of space, state-of-the-art technology and highly skilled laboratory technicianscurrently our lab processes about 30,000 tests each day. Manning them with the tools they need to be successful in a value-based environment is essential to pushing our delivery system forward., Working with the providers in Northwell Healths Premium Network is incredibly rewarding. Hospitals -. Waiver disclosure, Premium Network providers are shaping the future of medicine, one patient at a time. Gender: Female Location (s): CENTER FOR PEDIATRIC ORTHOPAEDICS 250 East Main Street Bay Shore, New York 11706 Get Directions Phone: (631) 390-7100 Direct contracting is gaining traction in what is seen as a lower-cost alternative to traditional health insurance. Box 8085 Northwell Health launches Northwell Direct, a customizable suite of health and wellness services for New York businesses, including a range of COVID-19 related offerings. Northwell Health recently ditched its commercial insurers to contract directly with employers who are self-insured through its new subsidiary, Northwell Direct. Whether youre at home or work, our lab experts come to youon Long Island, and soon, all five boroughs and Westchester. Need to update your information? Still there? We can avoid long wait times, and no tears because we dont have to visit an actual office. So convenient, especially with a toddler. To ensure the most secure and best overall experience on our website we recommend the latest versions of, Internet Explorer is no longer supported. MagnaCare makes the claims process as simple as possible, and offers online tools and a dedicated provider support team of network specialists who are on hand to answer your questions. Quick easy order entry for mobile lab requests, Download results, update orders and view up to the minute visit details for your patients, Email alerts available for results and visit status updates, For more information, click the "Forgot Login or Password" button to the right or send an email to. Please refer to your health insurance ID card to select the appropriate network. Northwell Directs Nick Stefanizzi and Joe Moscola discuss in our 20-Minute Health Talk. Need help with verification? Please log in again, or close to continue. The Tier 2 network is an extended network which has higher out-of-pocket expenses. Northwell Health, among New York's largest employers with over 70,000 employees, became the company's first self-funded . With our direct-to-employer network contracting model, were proud to give businesses the opportunity to increase ease and efficiency while engaging a provider network thats unrivaled for quality.. Contact [emailprotected] for assistance. With LabFly coming to our home, it surrounded them with familiarity and lowered their anxiety. For practices that require print copies of test results, Northwell Health Labs will provide printers to physicians offices that can receive test results. Copyright 2023 NorthwellHealth. The Tier 1 network offers you providers and facilities contracted by Northwell, allowing for the lowest out-of-pocket expense to you. As a busy working mom, its so much easier to book appointments around our schedules. A: If your provider or facility is not included in the Tier 1 network, you can use the MagnaCare network, the Tier 2 network for New York and New Jersey. The Northwell Direct network and MagnaCare network already serve as the Tier 1 and 2 networks for the HDHP. Northwell Health has chosen Brighton Health Plan Solutions (BHPS) as its third-party administrator (TPA) to handle the processing of claims and customer service for its employee health plan. A: For additional questions and support on the medical plan TPA and provider/facility networks, please call Brighton at (855) 340-7737, Monday through Friday, 8:00 am to 6:00 pm or email [emailprotected]. Copyright 2023 NorthwellHealth. Together, I know we are helping to improve our communities by facilitating the delivery of quality, coordinated care., Javascript must be enabled for the correct page display, Review claims and relevant plan activities, Single point of entry for Premium Network providers, Houses all value-based program information. Want to hear for yourself how were helping employers fulfill all of their employees health care needsall while saving money on health insurance? Still there? Gender: Male Location (s): RICHARD E WALL PHD 124 Merrick Avenue - Suite 1 Merrick, New York 11566 Get Directions Phone: (516) 318-2913 RICHARD E WALL PHD 26 Court Street - Suite 1214 Brooklyn, New York 11242 Get Directions Phone: (516) 318-2913 Thats why weve made it easy for you to get your lab results, so you can get valuable insight into your personal health. Know a great provider? Just fill out this form electronically and email to. I had concerns about going to a lab during COVID-19. LabFly is so easy to use and kid-friendly. Access the in-network provider and facility search on Northwell.edu/myMedical. We are Northwell Healthand together, we're raising the standard of health care. Owned by Northwell Health, New York State's largest health care provider and private employer, Northwell Direct uses an integrated health care management approach to help employers bend the. The tech arrived promptly and I was done in less than 15 minutes, making it easy for me to return to work quickly. Patient information - North Shore University Hospital | Northwell Health Patient portal The FollowMyHealth patient portal is used with your Northwell account to give you more access to your personal medical recordsfrom Northwell and other medical providersand more control over your health care. As a health care system that is also the largest private employer in New York State, Northwell Health has a unique perspective on the importance of providing employees easy access to the highest quality medical care while also keeping costs manageable and predictable, said Joe Moscola, PA, Northwell Healths executive vice president, enterprise services. As an This represents the latest evolution in our efforts to partner with employers large and small in order to provide access to outstanding care at a more sustainable price point. Now lab work fits around your schedule. Such programs can navigate participants through their health care needs, helping to prevent gaps in care in order to avoid potentially dangerous and expensive exacerbations. (833) 259-2367. Therefore, it is important you check eligibility for each patient on the provider portal before performing a service. Premium Provider Portal Login. It works with JetBlue Airways to provide a comprehensive set of COVID-19 solutions for the airlines local workforce. Garden City, NY 11530. Owned by Northwell Health, New York States largest health care provider and private employer, Northwell Direct uses an integrated health care management approach to help employers bend the cost curve, improve productivity and keep their employees and customers healthy. Call(844) 364-8108for questions and technical support. As the industry seeks to achieve the Triple Aim (better care, better outcomes, lower cost), the Northwell Health Clinical Integration Network IPA is implementing innovative programs designed to improve the health of our communities. If you have health insurance through your employer, or if you have an individual policy, we can help you by submitting your insurance claim on your behalf. (833) 259-2367. Lab experts that come to you. This represents the latest evolution in our efforts to partner with employers large and small in order to provide access to outstanding care at a more sustainable price point. If a patient has tests conducted anywhere in Northwell Health, including in one of the health system hospitals, the patient's physician will be able to view their results via the portal. About Northwell Health ACO Westbury, NY 11590, MagnaCare As an P.O. We are excited that Northwell Health has chosen Northwell Direct to supply a robust provider network for its employees and dependents, said Nick Stefanizzi, CEO of Northwell Direct. We transitioned from UnitedHealthcare to Brighton Health Plan Solutions (Brighton) as a plan administrator to administer and manage medical plan aspects such as claims processing and more.The Northwell Direct network and MagnaCare network already serve as the Tier 1 and 2 networks for the HDHP. MagnaCare is a third-party administrator (TPA) for self-insured clients, helping them manage their health plans. JetBlue and Northwell Direct partner to provide long-term COVID-19 health solutions, Northwell Direct offers COVID-19 testing, suite of health care services for New York employers, Notice of non-discrimination & accessibility. As an Still there? For your security, weve logged you out. Urgent Care. Contact (800) 381-6140 or ciipa@northwell.edu for help. Our labsstaff collaborates with clinicians to provide knowledge of, and access to, the latest testing and treatment guidance through our test directory. It brings together Northwell Healths expertise in occupational health, infectious disease, workforce safety, employee benefits and wellness best-practices to provide employee health plan solutions and a broad range of customized services to employers across industries, including retailers, schools, sporting and entertainment venues and others throughout the tri-state area. Businesses (844) 694-3728 By avoiding the need for a traditional insurance company and partnering directly with Northwell Direct, we believe we can increase quality of care and improve user experience while reducing the burden of health care costs.. CIGNA is the network outside of New York and New Jersey should you or a dependent need access to a provider outside of the area. If you need clarification on a patients coverage, contact Provider Services at 800.352.6465. tax-deductible as allowed by law. If you choose to use providers that are out-of-network you will pay significantly more. A: 2022 benefit guides are available on the myBenefits site. I just made the appointment and LabFly took care of the rest. For your protection your session is about to timeout.Would you like to stay logged in? We provide clinical laboratory testing to support health care systems, hospitals, specialty clinicsand other clinical laboratories all working toward expert, whole-person care to everyone who needs healing. Log on to our provider portal to research fee schedules, check your participation status, check member eligibility, and more. A: Please sign up on Northwell.edu/myMedical where you can search for providers and facilities, view and share your digital ID card, review claims and your Explanation of Benefits (EOBs) and check coverage and benefits. Please note that lab results can only be released to the patient or an authorized representative, Results are also available to some Northwell Health Physician Partners (NHPP) patients through FollowMyHealth, Northwell's patient portal. Our representatives are available to schedule your appointment Monday through Friday from 9am to 5pm. Please contact the provider's office for details. Aarons, Danielle N. PA Family Medicine 3001 Expressway Drive North Islandia, New York 11749 Phone: (631) 439-0600 Huntington Hospital Abad, Grace APN Nurse Practitioner 110 Rehill Avenue A wrap-around network is available for employees or dependents who need to access care out of state, as may be important for a family member attending college outside New York and New Jersey. Such programs can navigate participants through their health care needs, helping to prevent gaps in care in order to avoid potentially dangerous and expensive exacerbations. Together, I know we are helping to improve our communities by facilitating the delivery of quality, coordinated care., Javascript must be enabled for the correct page display, Review claims and relevant plan activities, Single point of entry for Premium Network providers, Houses all value-based program information. Authorization for Release of Health Information form, Notice of non-discrimination & accessibility. Our representatives are available to schedule your appointment Monday through Friday from 9am to 5pm. You should always confirm with your provider/facility using your member and group ID found on your medical benefit ID card. A: Please sign up for the member portal at Northwell.edu/myMedical to access your digital ID card, review claims and Explanation of Benefits (EOBs), check coverage and benefits, and continue searching for providers and facilities.In-network provider and facility coverage. Our representatives are available to schedule your appointment Monday through Friday from 9am to 5pm. With our direct-to-employer network contracting model, were proud to give businesses the opportunity to increase ease and efficiency while engaging a provider network thats unrivaled for quality.. Quick links Pay a bill FollowMyHealth For professionals Make an appointment Connect Contact us Ways to give Volunteer The Well by Northwell About FAQ Jobs Newsroom Northwell Health Physician Partners Policies Corporate compliance Notice of non-discrimination & accessibility Gender: Male OPTUM MEDICAL CARE PC 1978 Crompond Road Cortlandt Manor, New York 10567 Get Directions Phone: (914) 739-2121 OPTUM MEDICAL CARE PC 3680 Hill Boulevard Jefferson Valley, New York 10535 Get Directions Phone: (914) 245-7700 Within 48 hours, our team will email you our contracting packet that includes the standard individual contract, application, and sample fee schedule. MSSP public reporting With this increased availability, there are more areas that were previously considered OOA now determined as in-area. All Rights Reserved. Northwell Directs provider network comprises nearly 20,000 physicians in the New York metropolitan area, including not just Long Island, Queens, Staten Island, Brooklyn and Manhattan but also New Jersey and Bronx and Westchester counties. In-network provider and facility coverage In-network provider and facility coverage The leading provider of physician lab order entry and results reporting, CoreConnect is a web-based application that connects physicians to the Northwell Health Labs patient database. The Northwell Health Premium Network is an integrated group of 5,900 physicians who work together to deliver high quality, coordinated care for defined patient populations. A: The TPA for union-sponsored plans administered by Northwell changed from UnitedHealthcare to Brighton as a plan administrator on Jan. 1, 2022. Abramson, Sanford A. PA Vascular Medicine 1010 Central Park Avenue Yonkers, New York 10704 Phone: (914) 964-4030 We accept a wide range of insurance plans for our lab services. Appointments that fit your schedule. See what people are saying about their experiences. Return the application by email or by post. The TPA for union-sponsored plans administered by Northwell, allowing for the airlines local workforce have to visit actual... Allowed by law you have any questions Healthand together, we 're raising standard... Using your member and group ID found on your medical benefit ID card please refer to your insurance! Made the appointment and LabFly took care of the rest an P.O during COVID-19 and! Expense to you 're raising the standard of Health information form, Notice of non-discrimination & accessibility easy! Physicians offices that can receive test results, Northwell Health Labs will printers. 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