Provider Forms and Resources
Provider Demographic Update
It is very important that we have current, and up-to-date information related to your practice. Examples of reportable items include changes to:
Practice address
Practice contact information
Practice Tax Identification Number (TIN)
Remittance and payment address
Hours of operation
Panel statuses (accepting or not accepting new patients)
New associates joining your practice (including mid-level practitioners)
Please report changes to our Provider Relations Department using the following forms:
Claim Forms
Payments made by HHMG to the providers will automatically be deposited into the bank account upon completion of EFT process. Additionally, providers will automatically receive Electronic Remittance Advice (ERA) service.
Credentialing Forms
To deliver safe and high-quality healthcare services, all providers must complete primary source verification by completing and submitting the following application.
Provider Portal Access Form
HHMG offers the use of a convenient online Provider Portal to all contracted providers. Our portal will provide access to:
Patient Eligibility
Claims information (Capitation EoB)
Please using the following link to complete HHMG Portal Access.
HHMG Provider Manual
To obtain a copy of our Provider Manual, we kindly request that you contact our Provider Relations Department. Alternatively, you may access the manual through your personalized HHMG share folder.
All employees, contractors, providers, and volunteers are free to request a copy of HHMG policies and procedures for better understanding. Policy and procedures appendices may be downloaded here: P&Ps Appendices.
Any questions or concerns, please contact the Compliance Department at Compliance@hanahoumedicalgroup.com or call (888) 304-3848 to speak with the Compliance Officer.