Navigating healthcare can be complex, but finding the right providers shouldn’t be. If you’re searching for healthcare services in or around the 221 River Street Hoboken Nj area, understanding your Providence Health Plan provider directory is essential. This guide provides crucial information to ensure you have the most accurate and up-to-date details for your healthcare needs.
Verifying Provider Information is Key
In today’s fast-paced healthcare environment, provider information can change rapidly. While online directories are a great resource, it’s important to remember that the details for physicians, hospitals, and other services are updated regularly, but may not reflect real-time availability. For the most current information, especially concerning providers located near 221 River Street Hoboken NJ, it’s always best to directly confirm with Providence Health Plan Customer Service. You can reach them at 800-878-4445, from 8 a.m. to 5 p.m. Monday through Friday. Customer service representatives can provide the latest details on provider availability and network status.
Understanding Providence Health Plan Directory Accuracy
Providence Health Plan strives to maintain an accurate and current provider directory. The information listed is gathered directly from providers or through a thorough credentialing process. However, it’s vital to understand that the information in the directory is not guaranteed and may change without notice. Before scheduling any appointments, especially with a provider near 221 River Street Hoboken NJ, proactively verify their coverage under your specific plan. Contacting customer service at 800-878-4445 or calling the provider’s office directly to confirm plan coverage and acceptance of new patients is a recommended step.
Accessing a Printed Provider Directory
For those who prefer a physical copy, Providence Health Plan offers printed provider directories. You can request a hard copy by calling Customer Service at 800-878-4445, between 8 a.m. and 5 p.m., Monday to Friday. Providence Health Plan will mail the directory to you within five business days of your request. Customer service may inquire if your request is one-time or ongoing. Additionally, information regarding practitioner race and ethnicity is available upon request through Customer Service.
Reporting Directory Inaccuracies
If you encounter any information in the provider directory that you believe is inaccurate, particularly concerning providers in the 221 River Street Hoboken NJ vicinity, Providence Health Plan encourages you to report it. You can do so by calling 800-878-4445, emailing [email protected], or logging into your myProvidence account and using the secure chat feature. When reporting, please have the provider or facility name, location, and a description of the error readily available to ensure efficient processing of your feedback.
Provider Network and Quality Assurance
Providence Health Plan ensures that all practitioners and hospitals within their networks meet stringent credentialing requirements. It’s important to note that Providence Health Plan’s network determinations, including Marketplace networks, are currently not based on specific quality measures, member experience measures, patient safety measures, or cost-related measures.
For further information on mental health and substance use disorder treatment resources, please visit Important Mental Health and Substance Use Disorder Treatment Information.
Providence Health Plan has not received any carrier discipline findings by the Washington OIC for failing to meet access standards to date.
Washington State residents have the right to file complaints with the Washington Office of the Insurance Commissioner. You can contact them at the commissioner’s toll-free insurance consumer hotline at 1-800-562-6900 or through their website: https://www.insurance.wa.gov/file-complaint-or-check-your-complaint-status.
For information regarding disciplinary actions or malpractice history for Washington providers, please refer to the Washington Department of Health provider credential search tool: https://fortress.wa.gov/doh/providercredentialsearch/.
This guide helps you effectively utilize the Providence Health Plan provider directory, especially when searching for healthcare options near 221 River Street Hoboken NJ, ensuring you have the information needed for informed healthcare decisions.
