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 Knoxville, Tennessee 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

Individual and Family

Bright Health Plan
PO Box 16275
Reading, PA 19612-6275

Payer ID CB186

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.

Individual and Family

Submit and Request

  • Request via phone: 888-211-0373
  • Submit via fax (fax number listed in the attached forms below)

Prior Authorization Forms:

* Look for updated forms after 1/1/19.

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

Individual and Family

Submit and Request

Care Management Request Form:

  • Referral form coming soon

Contact Us

You can contact Provider Relations at providerrelationstn@brighthealthplan.com or call 901-313-8700 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 Individual and Family plans

For general claims, prior authorization, and benefit inquiries about Individual and Family Plans, please call Provider Services at 866-316-4552