Important COVID-19 Information for Essence Healthcare Providers Learn More Welcome Stanford Health Care Advantage providers! Your California provider website is available by clicking Visit Now As a provider and medical professional, the Essence Healthcare provider portal offers easy access to information related to member eligibility, claims status, authorizations and more. Introducing Essence Dual Advantage in Essence Missouri Coming January 2022 Essence will be offering a special needs plan for dual eligible (Medicare/Medicaid) members entitled Essence Dual Advantage. This plan will service those eligible members in the following counties: St. Louis City, St. Louis County along with St. Charles and Jefferson Counties. If you are a provider in those specific service areas, you will be required to complete and attest to the training on this plan. Various options of training will be offered: live webinars or a self-service video that can be found on the ‘Learning and Resources’ and under the ‘Forms and Resources' section. CME credits are offered and available. Questions regarding this new plan can be directed to Customer Service at 866-597-9560. Join The Provider Network Interested in JOINING THE PROVIDER NETWORK? Complete the Provider Inquiry Form below. Missing information will prevent consideration of your request. If you do not have the requested ID numbers, please indicate pending or no number. Your request will be reviewed to determine if there is a network need for your specialty. You will receive a response between 4-8 weeks from your request. Thank you for your interest in joining Essence Healthcare. Provider Inquiry Form ALREADY A CONTRACTED PROVIDER but have changes within your practice? Complete the Provider Demographic Form below or log on to the Provider Portal to make changes electronically. Provider Demographic Form Sign in to your account Username Password Sign in Create an account Forgot your username or password? Online services Check member eligiblity and benefits Review claim status Find forms and other resources Search the provider and facility directory Access guidelines, materials Helpful Links HealthHelp - check the status of a recent prior authorization request for Essence Healthcare authorization programs: Radiology, Medical Oncology, Radiation Oncology and Sleep Services. Waiver of Liability - Medicare Advantage non-contracted providers can request reconsideration for a denied claim. The non-contracted provider must complete a Waiver of Liability (WOL) statement and submit with the appeals request waiving any right to collect payment from the enrollee regardless of the appeals outcome. Mailing Address for Customer Service, Claims, Appeals & Grievances: P.O. Box 5907 Troy, MI 48007 Contracting Information 13900 Riverport Dr. Maryland Heights, MO 63043 Questions relating to Registration, Login, Application Access, General Questions and Technical Support: 866-397-2812 | customersupport@lumeris.com For Essence Health Plan Claims, Eligibility or Patient Referral Inquiries: 866-597-9560 | customerservice@essencehealthcare.com