Assistance is available 7 days a week, 24 hours a day. Claims will be processed in accordance with Original Medicare billing rules, Medicare fee schedules, prospective payment system …

PPHP is a Health Maintenance Organization (HMO) dedicated to Medicare Advantage (MA) product offerings. PPHP serves individuals with Medicare living in a long-term care residential …

Assistance is available 7 days a week, 24 hours a day. Claims will be processed in accordance with Original Medicare billing rules, Medicare fee schedules, prospective payment system …

PPHP has a network of doctors, hospitals, pharmacies, and other providers. If you use the providers that are not in our network, PPHP may not pay for these services.

TO BE COMPLETED BY PERSON REQUESTING AUTHORIZATION Standard Authorization: Most services if requested by or with a written order from a PCP or Plan NP are “auto …

PPHP has approved and promotes the use of the American Medical Directors Association (AMDA) clinical practice guidelines among internal clinical staff and providers which are …

Provider Partners Health Plans are Health Maintenance Organization (HMO) Special Needs Plans (SNP) with Medicare contracts. Enrollment in Provider Partners Health Plans depends on …

What is the service area for Provider Partners Texas Advantage Plan? The counties in our service area are listed below. Anderson, Angelina, Bandera, Bexar, Brazos ...

PPHP uses Correct Coding Initiative (CCI) for bundling/ unbundling logic. Provider fees are updated at least quarterly as files become available on the CMS website.

Discrimination is Against the Law ace, color, national origin, age, disability, or sex. PPHP does not exclude people or treat them differently because of PPHP: