Doctor & Provider Resources
Thank you for being a part of the Capital Health Plan network, and for joining us in our commitment to providing evidence-based, cost-effective care for all our members in Tallahassee and surrounding communities.
All of the information and resources you need are gathered on this page and specifically tailored for your use as a CHP provider.
Resources to Help You Care for Your Patients
CHPConnect
The CHPConnect is a digital portal that allows our providers immediate access to member information and more.
- View member eligibility
- Review referrals and authorizations
- Review claim status
Document Center
We understand that as a provider you need to access the forms and documents you need quickly. You can find the most frequently requested documents here, and review additional provider-focused documents in our Document Center.
- Uniform Prior Authorization Form
- Commercial Members Grievance and Appeal Process
- Medicare Advantage Plus Members Grievance and Appeal Process
- Medicare Preferred Advantage Members Grievance and Appeal Process
- Medicare Retiree Advantage Members Grievance and Appeal Process
- Waiver of Liability Statement for Providers
Clinical Criteria & Guidelines
We ask that all Doctors and Providers familiarize themselves with our Clinical Criteria for commercial and Medicare plan members, Clinical Guidelines, and our Programs to understand our medical decision criteria on diagnosis, management, and treatment of patients.
CHP Provider eNewsletter
Sign up for Network News, our electronic newsletter exclusively for Doctors and Providers with information that is relevant to your practice and your relationship with CHP.
Wish to Refer Your Patient to Our Physician Group?
The Physician Group of Capital Health Plan is CHP’s medical group of primary care physicians located at our three member only Health Centers.
Frequently Asked Questions
You can verify in-network hospitals and/or specialists by searching our provider/facility directory.
Capital Health Plan supports its Physician Group of CHP providers and three member-exclusive Health Centers as preferred referral options, when medically appropriate.
Physicians can verify their patients eligibility via the CHPConnect portal or by contacting Network Support Services.
We accept and highly encourage electronic claims submission. Find more details on our electronic claims submission page.
Prefer to talk to a real person?
Call our Network Support Services Department at (850) 523-7361.