Hometown Health is pleased to partner with Friday Health Plans effective January 1, 2021. Friday Health Plans will be leasing Hometown Health’s PPO network. They will utilize Hometown Health’s PPO contracted rates and Hometown Health will be pricing claims based on those rates. If you are contracted with Hometown Health, you are able to accept and provide care to Friday Health Plan members as an in-network provider. We encourage you to register at Friday Health Plans Provider Portal to view member eligibility and claim information.
To verify eligibility, call Customer Service at 844-535-2000
Login to the Friday Health Plans Portal: providers.fridayhealthplans.com/p/
Possession of the ID card does not guarantee eligibility of coverage. Providers must verify prior to services being rendered for non-urgent or non-emergent.
If a Specialist will be performing any procedures, they must request authorization by submitting a referral directly to Friday Health Plans
Utilization Management review is required and documentation may be requested for:
Request for Authorization Form
Non-covered Services List
Notification Preauthorization List
Paper Claim Submissions
Claims must be on an HCFA1500 or UB-04 with ICD-10 Codes
Mail to: Friday Health Plans, PO Box 194, Sidney, NE 69162
Electronic Claim Submission
Friday Health Plans Payer ID – H0657
Clearinghouses Used: ChangeHealth
Call Customer Service: 844-535-2000
Is it necessary to contract directly with Friday Health Plans?
No. It is not necessary to contract directly with Friday Health Plans. This client will utilize Hometown Health’s PPO contracted rates.
What services will Hometown Health be handling versus Friday Health Plans?
Friday Health Plans will be handling all member services. Hometown Health will only be pricing claims.
Hometown Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.