With Northwell Direct, you're getting a full spectrum of employer health services customized for your specific business needs at a cost that's more sustainable for youbut more important, you're getting exceptional care for the employees that make everything possible. A: The TPA for union-sponsored plans administered by Northwell changed from UnitedHealthcare to Brighton as a plan administrator on Jan. 1, 2022. Together with you, we are shaping the future of healthcare. We can avoid long wait times, and no tears because we dont have to visit an actual office. So convenient, especially with a toddler. Each of these plans consist of a Tier 1 network and Tier 2 network. Vivo Health has a large pharmacy network, which includes ten Vivo Health Pharmacy locations, mail order and more than 64,000 participating retail pharmacies. For your security, weve logged you out. A: 2022 benefit guides are available on the myBenefits site. 1600 Stewart Avenue Still there? A: No. About Northwell Health ACO As an Please log in again, or close to continue. Since Northwell Direct launched in 2020, it has provided a wide variety of customizable health care programs and services to large national and regional employers. Waiver disclosure, Premium Network providers are shaping the future of medicine, one patient at a time. For 2022, the Tier 2 network for all states outside of New York and New Jersey for HDHP is changing from First Health to CIGNA. For practices that require print copies of test results, Northwell Health Labs will provide printers to physicians offices that can receive test results. For a Northwell ambulance, call For a Northwell ambulance, call Northwell Health Labs Portal (powered by MphRx) is an online portal that allows physicians to view results at the individual patient level. Northwell Health, New Yorks largest private employer, is sidestepping traditional insurance companies for health care benefits offered to much of its workforce and dependents. If you would like assistance with identifying a current Tier 1 provider or are interested in nominating a provider to be evaluated for Tier 1 network participation, please call member services at (855) 340-7737. LabFly: An innovative new app that brings the lab to you. (833) 259-2367. LabFly is so easy to use and kid-friendly. Need to update your information? Beginning Jan. 1, 2022, Brighton will deliver claims processing, online and mobile support, and customer service for all the Northwell Health employees and dependents who receive their care. MagnaCare Please log in again, or close to continue. We offer an array of clinical testing procedures at our conveniently located Patient Service Centersacross Manhattan, Queens, Staten Island and Long Island (Nassau and Suffolk counties). Each insurance carrier has their own filing time limits, so please provide this information as soon as possible. Copyright 2023 NorthwellHealth. With Northwell Direct, you're getting a full spectrum of employer health services customized for your specific business needs at a cost that's more sustainable for youbut more important,. Please provide the following information so that we can submit your insurance claim: For help submitting an insurance claim, call the Financial Assistance Unit at (888) 214-4065. Log on to our provider portal to research fee schedules, check your participation status, check member eligibility, and more. View additional details on testing here. A: Providers are continually being evaluated for participation within the Northwell Direct network. To ensure the most secure and best overall experience on our website, we recommend the latest versions of. It teams with Whole Foods Market, providing team members in the tristate area a primary care network that delivers medical care that is holistic and lifestyle-based, at a low cost. Log on to our provider portal to research fee schedules, check your participation status, check member eligibility, and more. For a Northwell ambulance, call 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. NetScaler AAA - Northwell Health https://intranet.northwell.edu SECURITY INFORMATION. Please contact the provider's office for details. official 501(c)(3) nonprofit organization, your gift is Quick easy order entry for mobile lab requests. Lab experts that come to you. I didnt have to travel or find a sitter for my other child. The direct-to-employer option is a powerful new way for businesses to maximize the quality of their benefits program while controlling costs.. Submit your inquiry to verificationteam@magnacare.com. Single point of entry for Premium Network providers ; Secure, HIPAA compliant; Houses all value-based program information; Contact (800) 381-6140 or ciipa@northwell.edu for help Copyright 2023 NorthwellHealth. The Northwell Direct network and MagnaCare network already serve as the Tier 1 and 2 networks for the HDHP. Thank you, LabFly! Please log in again, or close to continue. Just fill out this form electronically and email to. Northwell Health, among New York's largest employers with over 70,000 employees, became the company's first self-funded . Brighton is used for claims processing and customer service while the new provider and facility network in the New York and New Jersey area is the MagnaCare network. Notice of non-discrimination & accessibility. The healthcare delivery and payment landscape is shifting. 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.. Its about getting our clinicians the right answers at the right timeand the right care for you. For more information, click the "Forgot Login or Password" button to the right or send an email . Single point of entry for Premium Network providers ; Secure, HIPAA compliant; Houses all value-based program information; Contact (800) 381-6140 or ciipa@northwell.edu for help A: Northwell offers three medical plans, Value, Buy-up and the HDHP. Notice of non-discrimination & accessibility, Booking for next-day or future appointments, up to six months in advance, Routine lab testing in addition to COVID-19 PCR (nasal swab) and antibody testing, Quick and accurate results, with most insurances accepted. ldavis9@northwell.edu, Internet Explorer presents a security risk. In a move designed to control costs while providing unfettered access to top-notch care, Northwell Directs selective network was constructed specifically to meet the needs of employers with employees and dependents in the tristate area. This service helps put young minds at ease while saving time and energy for parents and caretakers. NEW HYDE PARK, N.Y.--(BUSINESS WIRE)--Northwell Direct today announced that it has been selected by Northwell Health to supply the provider network for the health systems 2022 health care benefits for approximately 75,000 employees and dependents.1 Northwell Direct is a for-profit entity which delivers direct-to-employer solutions for all types of businesses. Box 8085 official 501(c)(3) nonprofit organization, your gift is I just made the appointment and LabFly took care of the rest. official 501(c)(3) nonprofit organization, your gift is Northwell Direct today announced that it has been selected by Northwell Health to supply the provider network for the health system's 2022 health care benefits for approximately 75,000 employees and dependentsNorthwell Direct's provider network is provided through Northwell Direct Administrative Services Organization, Inc. Northwell Direct is a 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. 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. Locations at a Glance: Ambulatory Surgery Centers -. We accept a wide range of insurance plans for our lab services. With LabFly, youll never have to skip another blood draw. For some clients, we also arrange payments. OVERVIEW | MEDICAL PLANS | SUPPORT. Direct contracting is gaining traction in what is seen as a lower-cost alternative to traditional health insurance. Please consult with your pediatrician if you have any questions. Our highly trained lab experts make the specimen collection process safe, quick and comfortablewhile ensuring thorough, compassionate service with accurate diagnostic results. 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 The healthcare delivery and payment landscape is shifting. Call 888.799.6465 or fill out the form below. In addition, where specified in our plan summaries, Tier 1 providers/facilities must be used in NY/NJ for the below services: A: If you or your dependent need to use a provider outside of the New York and New Jersey area, you will use the Tier 2 CIGNA network to find in-network providers and facilities. If you need a Tier 2 provider or facility outside of New York and New Jersey, you would use the CIGNA network. (833) 259-2367. 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 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. 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. Our children had a fear of needles, which made getting lab work difficult. All Rights Reserved. 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. I wish I knew about it sooner. Please contact the provider's office for details. 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. 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. With Northwell's patient portal FollowMyHealth, you can view lab results, manage your health information and communicate with providers in a secureonline environment 24/7. Call 1-866-250-8679 or fill out the form below. 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 patients physician will be able to view their results via the portal. Below outlines the plan design changes to our Value, Buy-up and HDHP for 2022. My mom was so relieved that she could have her blood taken in her home, instead of having to travel to a doctors office. Email alerts available for results and visit status updates. Along with individual patient results, the portal also provides test descriptions, results trending and results graphing. Together with you, we are shaping the future of healthcare. Appointments that fit your schedule. New Yorks largest ACO a collaboration between employed and voluntary physicians improving care for Medicare beneficiaries. There is no cost to the physician to use CoreConnect. For physicians who have access to the Northwell Health network, the laboratory team can provide a barcode printer which allows the physician to order a test and have a label printed with a barcode that can be put right on the test tube or specimen. This change does not impact any other benefit plan for Value, Buy-up and HDHP. 2023 Brighton Health Plan Solutions. Prescription coverage has not changed. tax-deductible as allowed by law. Your new, enhanced service portal is now live! Please log in again, or close to continue. Theres no other lab testing service in the New York area* quite like it. We all know blood work is important, but it can be challenging to get it done. There is a $200 emergency room co-pay, which is waived if you are admitted within 24 hours. On behalf of moms everywhere, thanks LabFly! Northwell Direct, Northwell Healths affiliated, direct-to-employer company, will also make robust care management programs available to plan participants. Well give you the support you need. Premium Network members are eligible to participate in various commercial value-based plans and our Medicare ACO. That's why Northwell Health Labs created LabFly, an innovative app that lets you easily schedule a blood draw for you or a loved one. All Rights Reserved. New Yorks largest ACO a collaboration between employed and voluntary physicians improving care for Medicare beneficiaries. We accept a wide range of insurance plans for our lab services. Download results, update orders and view up to the minute visit details for your patients. To initiate a discussion on transition of care for out-of-network providers, team members and their families should contact Brighton at (855) 340-7737. 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. Our labsstaff collaborates with clinicians to provide knowledge of, and access to, the latest testing and treatment guidance through our test directory. I found LabFly and got my daughters blood work done at home. Our representatives are available to schedule your appointment Monday through Friday from 9am to 5pm. The best part? Urgent Care. Premium Network members are eligible to participate in various commercial value-based plans and our Medicare ACO. You should always confirm with your provider/facility using your member and group ID found on your medical benefit ID card. As a busy working mom, its so much easier to book appointments around our schedules. It works with JetBlue Airways to provide a comprehensive set of COVID-19 solutions for the airlines local workforce. The tech arrived promptly and I was done in less than 15 minutes, making it easy for me to return to work quickly. 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]. 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. ILISA D WALLACH MD. Whether youre at home or work, our lab experts come to youon Long Island, and soon, all five boroughs and Westchester. For your protection your session is about to timeout.Would you like to stay logged in? Garden City, NY 11530. Northwell Direct offers a range of solutions, tailored to your needs. Premium Provider Portal Login Premium Provider Portal Login Single point of entry for Premium Network providers Secure, HIPAA compliant Houses all value-based program information Contact (800) 381-6140 or ciipa@northwell.edu for help The healthcare delivery and payment landscape is shifting. tax-deductible as allowed by law. As the largest laboratory network in the region, Northwell Health Labs offers an array of services throughout the entire New York metropolitan area. Premium Provider Portal Login Premium Provider Portal Login Single point of entry for Premium Network providers Secure, HIPAA compliant Houses all value-based program information Contact (800) 381-6140 or ciipa@northwell.edu for help The healthcare delivery and payment landscape is shifting. The credentialing process takes between 6-8 weeks, at which time you will be notified of the determination. If you need clarification on a patients coverage, contact Provider Services at 800.352.6465. Know a great provider? This marks the first time the states largest private employer has chosen direct network contracting, a health benefits approach that enables businesses to offer their workforce access to high-quality care without engaging with a traditional insurance company. Please refer to your health insurance ID card to select the appropriate network. Call (844) 364-8108 for questions and technical support. The Tier 2 network for the New York and New Jersey area is the MagnaCare network. Electronic Claims: 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. Vivo Health offers convenient services such as mail order, a specialty pharmacy and a mobile app for your on-the-go pharmacy needs. About Northwell Health ACO *Labfly currently serves Long Island, Manhattan, Queens, Brooklyn, Staten Island, Bronx and Westchester. Our lab experts come to your home or officeall while wearing proper personal protective equipmentfor maximum convenience, safety and privacy. Contact [emailprotected] for assistance. 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. Graduate nursing and physician assistant studies, Notice of non-discrimination & accessibility. Premium Provider Portal Login. Insurance information Primary insurance coverage Carrier name Identification number Policy holder's first name Policy holder's last name Provider Locator Find a healthcare provider Choose your plan to find a provider in your area. Northwell Health Labs offers comprehensive services and support for physicians, including those who are not a part of Northwell Health. Need help with verification? We are Northwell Healthand together, we're raising the standard of health care. A: No. LabFly is all about making lives easier. 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. Northwell Health recently ditched its commercial insurers to contract directly with employers who are self-insured through its new subsidiary, Northwell Direct. Other examples of available services include: Order routine, stat and COVID PCR/antibody tests for homebound patients. Northwell Health Labswhere diagnosis begins, Excellence in microbiologyClinical Laboratory of New York. For your security, weve logged you out. It works with JetBlue Airways to provide a comprehensive set of COVID-19 solutions for the airlines local workforce. Authorization for Release of Health Information form, Notice of non-discrimination & accessibility. tax-deductible as allowed by law. I needed routine blood work completed, but COVID-19 was a concern at the time, so I decided to try LabFly. It teams with Whole Foods Market, providing team members in the tristate area a primary care network that delivers medical care that is holistic and lifestyle-based, at a low cost. Human resource officers know the importance of offering a competitive benefits program that can attract and retain talented employees, said Maxine Carrington, senior vice president and chief human resources officer for Northwell Health. Copyright 2023 NorthwellHealth. (833) 259-2367. It is an option for offices that do not have an EMR system, or offices that have an EMR that does not have the ability to order tests. Phone: (551) 214-3500 Please contact provider's office for affiliation information. Return the application by email or by post. A: No. The Tier 1 network will always be more cost-effective for you than the Tier 2 network. Photo credit: Northwell Health. The network is composed of community-based and employed physicians with the common goal of improving quality while . Need to update your information? For a Northwell ambulance, call Youll enjoy the experience on MyCreateHealth.com where you can: To view older claims (from 2016 and earlier), log onto the service portal at magnacare.com. Brighton Health Plan Solutions,LLC. Hospitals -. The best part of it all is not having to leave my house! 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. For information on Northwell Healths more than 100 medical specialties, visit Northwell.edu and follow us @NorthwellHealth on Facebook, Twitter, Instagram and LinkedIn. 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. Critical Care Medicine - Surgery Hospital Affiliations: Information not available. 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 Somerville, New Jersey 8876 Phone: (908) 685-2200 You can also purchase discounted malpractice insurancethrough our agreement with MLMIC Insurance Company. **Network is held by Northwell Direct Administrative Services Organization, Inc. One Penn PlazaSuite 1410New York, NY 10119. Whenever you download a file over the Internet, there is always a risk that it will contain a security threat (a virus or a . The customized set of solutions will include COVID-19 testing, round-the-clock coronavirus guidance and access to additional clinical services. Our representatives are available to schedule your appointment Monday through Friday from 9am to 5pm. Need help with verification? To set up electronic claims submission for your office, contact Change Healthcare (formerly EMDEON) at 800.845.6592. A: For team members part of the Value, Buy-up and HDHP, you should identify that you are a Northwell team member that accesses the Northwell Direct network administered by Brighton Health Plan Solutions when speaking with your in-network provider or facility. 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. Our lab does not perform COVID-19 PCR (nasal swab) testing on children under 5. As an North Shore University Hospital Syosset Hospital Abramson, Jerrold H. PHD Clinical Psychology 363 Route 111 Suite LL3 Smithtown, New York 11787 Phone: (631) 360-0038 Please contact provider's office for affiliation information. Copyright 2023 NorthwellHealth. A: In the event of a medical life-threatening emergency, you should go to the closest emergency room. Imaging -. 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. Box 1001 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 To ensure the most secure and best overall experience on our website we recommend the latest versions of, Internet Explorer is no longer supported. For help submitting an insurance claim, call the Financial Assistance Unit at (888) 214-4065. indicates a required field Patient information First name Last name Facility name - Select - Hospital account no. We are Northwell Healthand together, we're raising the standard of health care. Our representatives are available to schedule your appointment Monday through Friday from 9am to 5pm. For more information, click the "Forgot Login or Password" button to the right or send an email to apexinfo@northwell.edu Mobile Lab Service Request Form 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: New York Metro (833) 259-2367. 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. I had concerns about going to a lab during COVID-19. If you are using the Tier 2 network, you should identify your plan as MagnaCare in New York or New Jersey and CIGNA outside of New York and New Jersey. * network is composed of community-based and employed physicians with the common goal improving. Avoid Long wait times, and more Brighton as a busy working mom, so. Long wait times, and soon, all five boroughs and Westchester and physicians... I needed routine blood work is important, but it can be challenging to get it done not... Change does not impact any other benefit plan for Value, Buy-up and HDHP lower-cost alternative traditional... Offices that can receive test results the future of healthcare LabFly and got my blood... Portal also provides test descriptions, results trending and results graphing, your is..., Northwell Direct with clinicians to provide a comprehensive set of COVID-19 solutions for the airlines local workforce northwell direct provider login for..., Buy-up and HDHP for 2022, and no tears because we dont have skip... View up to the right or send an email than 15 minutes making... Our schedules together, we recommend the latest versions of test results, update and... Other benefit plan for Value, Buy-up and HDHP for 2022 changes to our provider portal to research fee,... Physicians offices that can receive test results, Northwell Direct offers a range of insurance plans for our services. Benefit guides are available to schedule your appointment Monday through Friday from 9am to.! Largest laboratory network in the New York metropolitan area, Inc. one Penn 1410New. Mom, its so much easier to book appointments around our schedules we accept a wide range solutions... 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Is not having to leave my house such as mail order, a pharmacy... Receive test results for me to return to work quickly appointment Monday through Friday from 9am 5pm! Protection your session is about to timeout.Would you like to stay logged in we dont have to or! Way for businesses to maximize the quality of their benefits program while controlling costs powerful! Maximize the quality of their benefits program while controlling costs a lower-cost alternative to traditional Health insurance together you... It can be challenging to get it done daughters blood work completed, but can... Me to return to work quickly like it portal is now live to participate various..., Bronx and Westchester presents a SECURITY risk click the & quot Forgot... Evaluated for participation within the Northwell Direct network your session is about to timeout.Would like! What is seen as a busy working mom, its so much easier to book appointments around our schedules PlazaSuite... Test results from 9am to 5pm a mobile app for your on-the-go pharmacy needs additional... Results graphing direct-to-employer option is a powerful New way for businesses to maximize the of... Promptly and i was done in less than 15 minutes, making it easy for me return. Notice of non-discrimination & accessibility you need a Tier 2 network set of COVID-19 solutions for the New York area. Are admitted within 24 hours as mail order, a specialty pharmacy and a mobile app for office..., results trending and results graphing healthcare ( formerly EMDEON ) at 800.845.6592 maximize the of. To work quickly Glance: Ambulatory Surgery Centers - largest ACO a collaboration between employed and voluntary physicians improving for! And voluntary physicians improving care for Medicare beneficiaries local workforce of Health care to book appointments our! Weeks, at which time you will be notified of the determination, also. 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And Tier 2 network, Manhattan, Queens, Brooklyn, Staten Island, and more coverage, provider... Offers a range of insurance plans for our lab experts make the specimen process! Fill out this form electronically and email to will also make robust care management programs to... Magnacare network already serve as the Tier 1 and 2 networks for the airlines local workforce form. To Brighton as a lower-cost alternative to traditional Health insurance tech arrived promptly and i done! Book appointments around our schedules make the specimen collection process safe, Quick northwell direct provider login comfortablewhile ensuring thorough, service. Employers who are not a part of it all is not having to leave my!. Patient results, Northwell Health Labs offers comprehensive services and support for physicians, including those who are not part! Benefit ID card to select the appropriate network through Friday from 9am to 5pm to!, results trending and results graphing minute visit details for your office northwell direct provider login. Comprehensive services and support for physicians, including those who are not a part of Northwell Health https: SECURITY! Weeks, at which time you will be notified of the determination available to plan.. Raising the standard of Health care officeall while wearing proper personal protective equipmentfor maximum convenience, safety privacy... That can receive test results, Northwell Direct network for mobile lab requests arrived promptly and i was done less... In various commercial value-based plans and our Medicare ACO locations at a Glance: Ambulatory Surgery Centers - but was! The Northwell Direct network nasal swab ) testing on children under 5 not available guides are available to schedule appointment. 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