Finding the right healthcare provider is a crucial step in managing your health and well-being. Providence Health Plan offers a comprehensive network of providers, and it’s essential to have the most accurate and up-to-date information at your fingertips. This guide will help you navigate the Providence Health Plan provider directory to ensure you can access the services you need, including those potentially offered at locations like G Street Integrated Health.
Providence Health Plan is committed to providing its members with a directory that is updated regularly, aiming for at least monthly updates. This ensures that the information you see online reflects the most current status of physicians, hospitals, providers, and services within their network. However, it’s important to remember that healthcare is a dynamic field, and changes can happen rapidly. The availability of specific providers or services, including those related to G Street Integrated Health, can change from day to day.
To guarantee you have the very latest information, especially when seeking out services like G Street Integrated Health, it is always recommended to contact Providence Health Plan Customer Service directly. You can reach them at 800-878-4445 between 8 a.m. and 5 p.m., Monday through Friday. Customer service representatives can provide real-time updates on provider availability and network status.
The information presented in the Providence Health Plan directory is gathered directly from the providers themselves or through a thorough credentialing process. This process is designed to ensure the accuracy of the details listed. Providence Health Plan makes every effort to maintain an accurate and current provider list.
However, it is crucial to understand that the information in the directory is not guaranteed and is subject to change without notice. Before making any healthcare decisions, particularly when choosing a provider like G Street Integrated Health, always verify that the provider is currently covered under your specific Providence Health Plan.
The most effective way to confirm coverage is to contact Providence Health Plan customer service at 800-878-4445. Alternatively, you can directly call the provider’s office, such as G Street Integrated Health, prior to scheduling your appointment. By verifying coverage beforehand, you can avoid any unexpected costs and ensure a smooth healthcare experience. It’s also wise to confirm if the provider, especially G Street Integrated Health, is accepting new patients at the time you wish to schedule an appointment.
For those who prefer a physical copy, Providence Health Plan offers the option to request a printed provider directory. To request a hard copy, simply call Customer Service at 800-878-4445, Monday through Friday, between 8 a.m. and 5 p.m. Providence Health Plan will mail the printed directory to you within five business days of your request. When you request a printed directory, Providence Health Plan may inquire whether your request is for a one-time need or if you would like to receive directories permanently. Customer Service can also provide information regarding practitioner race and ethnicity if you request this information.
If you happen to find any information in the provider directory that you believe to be inaccurate, it is important to report it. You can report inaccuracies by calling 800-878-4445, sending an email to [email protected], or by logging into your myProvidence account through the secure chat feature. When reporting an inaccuracy, please have the provider or facility name, location, and a detailed description of the error readily available to help expedite the correction process. This helps ensure the directory remains as accurate as possible for all users seeking providers, potentially including G Street Integrated Health.
Providence Health Plan maintains a high standard for its network providers. All practitioners and hospitals within the Providence Health Plan networks are required to meet specific credentialing requirements. It’s important to note that Providence Health Plan’s network decisions, including Marketplace networks, are currently not based on specific quality measures, member experience measures, patient safety measures, or cost-related measures.
Providence Health Plan also provides resources for mental health and substance use disorder treatment. You can find important information regarding these resources at Important Mental Health and Substance Use Disorder Treatment Information.
To date, the Washington Office of the Insurance Commissioner (WA OIC) has not issued any carrier discipline findings against Providence Health Plan for failing to meet access standards.
As a Providence Health Plan enrollee, you have the right to file a complaint with the Washington Office of the Insurance Commissioner. You can contact the commissioner’s toll-free insurance consumer hotline at 1-800-562-6900 or visit their website at https://www.insurance.wa.gov/file-complaint-or-check-your-complaint-status.
For those interested in further information about Washington providers, you can access details regarding disciplinary actions or malpractice history through the Washington Department of Health provider credential search tool: https://fortress.wa.gov/doh/providercredentialsearch/. This resource can be valuable when researching providers in your network, including those associated with services like G Street Integrated Health.
