Welcome to the Bright Health Provider Resources page

Find everything you need in our Bright Health provider resource hub. From how to submit a claim to getting in touch with Bright Health when you have questions, it’s all right here. If you’re not a contracted provider, this is also the place to learn more about joining our growing network.

You have selected New York Provider Resources 

Provider Self Service – Availity

Bright Health uses the Availity Provider Portal to integrate with you in a secure, streamlined way.

Streamlined access to:

  • Member Eligibility
  • Claim Status
  • Prior Authorization Lists
  • Electronic Prior Authorizations for Individual and Family Plan members (Functionality for Medicare Advantage members coming in 2019)
  • Bright Health Provider Manual
  • Sample ID Cards
  • Bright Health Announcements
availity

Questions?

For any questions about Availity, including how to create an account, call the Availity Client Services team at 800-282-4548

File a Claim

Medicare Advantage

Bright Health Medicare Advantage – Claims Operations
PO Box 853960
Richardson, TX 75085-3960

Payer ID BRT01

Other Tools and Resources

Browse in-network providers using our Provider Finder.

Use the Provider Finder to help Bright Health members find the right doctor, specialist, or facility. The Provider Finder can be used for either of the Individual and Family members or Medicare Advantage Members.

Bright Health offers multiple ways to submit prior authorizations.

Medicare Advantage (HMO / PPO)

Submit and Request:

  • Request via phone: 877-874-7201
  • Submit via fax (fax number listed in the attached forms below)

Prior Authorization Form:

Medicare Advantage (DSNP)

Submit and Request:

  • Request via phone: 877-874-7202
  • Submit via fax (fax number listed in the attached forms below)

Prior Authorization Form:

Please fill-out the form below and include it when mailing in refunded checks for reimbursement.

Medicare Advantage

Bright Health Plan

8547 E. Arapahoe Rd, Suite J-461
Greenwood Village, CO 80112


Provider Refunded Check Form

Bright Health offers multiple ways to submit care and case management referrals.

Medicare Advantage (HMO / PPO)

Submit and Request:

  • Request via phone: 844-201-1912
  • Submit via fax (fax number listed in the attached form below)

Care Management Request Form:

  • Referral form coming soon

Medicare Advantage (DSNP)

Submit and Request:

  • Request via phone: 844-202-4028
  • Submit via fax (fax number listed in the attached form below)

Care Management Request Form:

  • Referral form coming soon

If you are a provider in New York that works with D-SNP patients, please complete the following training and submit the attestation form at the end.


D-SNP Provider Training

Contact Us

You can contact Provider Relations at providerrelationsny@brighthealthplan.com or call 646-793-3501 regarding joining the network, questions regarding current contracts and escalated issues regarding claims or patient concerns.

Not finding what you need?

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Provider Services Medicare Advantage plans (HMO / PPO)

For general claims, prior authorization, and benefit inquiries about Medicare Advantage Plans, please call Provider Services at 844-201-1912

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Provider Services Medicare Advantage plans (DSNP)

For general claims, prior authorization, and benefit inquiries about Medicare Advantage Plans, please call Provider Services at 844-202-4028