Friday Health Plans, recently contracted through Primoris Credentialing Network, has gone live in Oklahoma as of January 1, 2022. The partnership continues Primoris’ expansion of solutions with over 54+ health plans and network provider enrollment options.
Friday Health Plans: Health Insurance On Your Terms
Headquartered in Denver, Colorado, Friday Health Plans specifically caters to people and small businesses purchasing health insurance. Chief Executive Officer Sal Gentile and President David Pinkert started the company in 2015, after they acquired Colorado Choice Health Plans, and have been increasing their service area ever since.
In December 2019, the company signed a $50 million funding agreement supporting its ongoing expansion plans. After achieving 400% growth, Friday secured $160 million in funding for continued expansion. With ample financial backing, Friday Health Plans is positioned to transform the health insurance marketplace. Their introduction into Oklahoma is their latest move. They have brought their consumer-focused health insurance model to New Mexico, Nevada, and Texas. Already serving 95,000+ members, they aim to go live in several new states yearly.
Friday Health Plans is committed to helping its providers and staff optimize their ability to care for Friday members. Friday offers their provider users a Provider Hub with resources to help facilitate care on both the treatment and business ends.
Among the features is the Provider Portal, a secure website that can allow users to:
- Access claims data.
- Check authorization status.
- Review the provider manual.
- Search the Friday Formulary.
- See member eligibility.
Also accessible from the Provider Hub is information regarding clinical practice guidelines, Oklahoma’s Evidence of Coverage and Summary of Benefits Coverage, and provider payment information. Users can also retrieve various forms, including authorization and referral documentation.
Friday Health Plan and Primoris’ Team Support
Primoris Credentialing Network and Friday’s Provider Operations Teams are available for even more support.
They can assist providers and their staff with the following:
- New provider orientation and personalized training.
- Contracting.
- Fee schedules.
- Electronic filing.
- Provider Manual requests.
- Demographic changes.
- Provider additions and updates.
- National Provider Identifier questions.
In addition, Friday shares essential news and information that affects participating providers and members through a quarterly newsletter.
Primoris Credentialing Network: Smarter, Simpler, and Better Provider Payor Enrollment
Primoris Credentialing Network is the largest IPA (Independent Physician Association) in the Midwest and one of the only credentialing IPAs in the United States. With 385+ years of industry experience, Primoris is the premier provider enrollment team. Primoris enjoys synergy with the other companies under the Fifth Avenue Healthcare Services banner. Sister company 5ACVO is a credentialing verification organization with clients in 40+ states. 5ACVO focuses on reducing overhead costs, increasing access to expertise, and speeding up credentialing.
Primoris also works hand in hand with sister company Fifth Avenue Agency, which leverages the credentialing data and technology of the Fifth Avenue group to simplify and expedite obtaining a quote for medical malpractice insurance. This creates a competitive market that can result in lower rates for the insured.
The team at Primoris performs all the administrative and functional duties related to completing provider enrollment. Their vast experience and deep relationships with health plans and networks across the country quickens credentialing completion and provider enrollment.
Primoris understands the importance of provider enrollment being the foundation of the medical revenue cycle. Their team of experts works hard to justify their reputation as a one-stop solution that offers smarter, simpler, and better enrollment. Expanding the number of health plans and network enrollment options provided is one example of Primoris’ drive to aid the medical industry.
Primoris & Friday Working Together
Friday Health Plans joins Primoris’ list of 54+ health plan and network provider enrollment options as a delegated health plan. Delegated contracts allow Primoris to add a provider to health plans much faster than the traditional method of sending an application to each plan. Members complete one application for all delegated plans. This ultimately allows providers to begin billing and seeing patients sooner.
Friday’s addition to Primoris’ delegated agreements bolsters the latter’s ability to serve 6,700+ provider clients better. Primoris already has arrangements with Aetna, Humana, UnitedHealthcare, and many other health plans and networks. Like Friday, Primoris seeks to broaden its reach into other parts of the nation. They are adding plans and networks in states like Illinois and Missouri.
The partnership between Primoris and Friday Health Plans can benefit healthcare providers by opening revenue and professional possibilities. Both organizations share the purpose of giving their members the tools to succeed.
Primoris and Friday Health Plans want to provide groups and providers with as much information as possible. Friday has a Quick Reference Guide and FAQ list for review, and you can contact Primoris for more details.
More information about Primoris Credentialing Network
Primoris Credentialing Network is a NCQA Credentialing Accredited specializing in credentialing and provider enrollment with 54+ health plan and network provider enrollment options. Primoris is a family member of Fifth Avenue Healthcare Services. Sister companies include 5ACVO (credentialing and primary source verification specialists) and Fifth Avenue Agency (MPLI and medical malpractice specialists).
Primoris Credentialing Network originally published this article here. For more information on Primoris Credentialing Network, please visit PrimorisCredentialingNetwork.com or Contact Us.
