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Statewide Provider Training/Orientation Webinars

Welcome to PA Health & Wellness. We thank you for being part of our network of participating physicians, hospitals and other healthcare professionals.

How to sign up:

  1. Click the link next to the date/topic below to register for a webinar.
  2. You will be re-directed to the corresponding wepage to register. 
  3. You will receive a confirmation email with the link and instructions for joining the webinar - as well as an option to add to your calendar. NOTE: Please check junk folder if confirmation is not received. 
  4. When you join the webinar, the call-in telephone number and your attendee passcode will be displayed. NOTE: Some webinars may only have audio available through your computer speakers.

NOTE: When registering, you must use a valid email address and the TIN should be entered in XX-XXXXXXX format. 

New Provider Orientation

  • Health Plan Overview
  • Who we are & What we do
  • Value Added Services
  • Community Health Choices Overview
  • Behavioral Health Overview
  • Appropriate Referral Process for Mental Health, Drug, Alcohol, and Substance Abuse Services
  • Member Eligibility Overview
  • Cultural Awareness and Sensitivity
  • Abuse and Neglect
  • Medical Management Overview
  • Prior authorization & Referrals
  • Case Management Programs
  • Pharmacy Overview
  • Claims processing Overview
  • Billing Requirements
  • Electronic funds transfer/electronic remittance advice
  • Clearinghouse Information
  • Appeals, Grievances & Complaints Overview
  • Website Overview
  • Q&A

Register for the New Provider Orientation:

Ambetter from PA Health & Wellness New Provider Orientation

  • Overview of the Affordable Care Act
  • The health insurance marketplace
  • Verification of eligibility, benefits and cost share
  • Specialty referrals
  • Prior authorization
  • Claim submission
  • Claim payment
  • Grievances and appeals
  • Specialty companies/vendors
  • Ambetter website
  • Member incentives
  • Fraud, waste and abuse
  • Contact information

Register for the Ambetter from PA Health & Wellness New Provider Orientation:

Allwell from PA Health & Wellness New Provider Orientation

  • Plan overview
  • Membership, benefits and additional services
  • Providers and authorizations
  • Preventive care and screenings
  • Model of care
  • Medicare STAR ratings
  • CMS mandatory trainings

Register for the Allwell from PA Health & Wellness New Provider Orientation:

Billing & Claims Overviews

  • Program Coordination Unit
  • Continuity of Care
  • Member Eligibility Overview
  • Third Part Eligibility (EOB) and Coordination of Benefits (COB)
  • Website Overview
  • Provider Type Specific - Claims & Billing Overview
  • Secure Web Portal Overview

Register for the:

[Coming Soon] Provider Web Portal Training for CHC, Ambetter and Allwell

  • Overview of PA Health & Wellness Secure Web Portal
  • Helpful provider resources
  • How to register/add users and log in to the secure portal
  • Account management overview
  • Patient eligibility check
  • Patient cost-sharing
  • Authorizations and claims features
  • Available Reporting

 

[Coming Soon] Common Claim Errors Provider Training

  • Common claim denials
  • Common claim submission errors
  • How to avoid claim submission errors