For Providers

BE A PART OF OUR MISSION

The Uniformed Services Family Health Plan (USFHP) has provided comprehensive care for military families for over 30 years. Our mission is to continue giving our members first-class quality health care with the best possible providers available. If you are a provider who is interested in working with us, please reach out to us.

Check Your Claim Status and Information About Your Billing

In order to check your claim status, USFHP providers are asked to create an account on our Provider Portal.

Service Request Form

The Service Request Form is intended for providers to submit their patient’s authorization requests to eQ Health for processing.

In order to request service, you will need to fill out the Service Request Form and submit it.

Authorization Management

Utilization management is a set of procedures used by or on behalf of our members related to their health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision. We at USFHP want to ensure that our members and providers have the best experience possible when attempting to obtain authorization for services.

Contact our authorization review department at (844) 356-4901 to pre-certify all services except outpatient Physical Therapy and Occupational Therapy.

Behavioral Healthcare 

Contact Magellan to pre-certify services or to obtain a listing of behavioral healthcare providers at (844) 356-4901. For more information on Magellan, visit their website at www.magellanassist.com.

Mount Holly Surgical Supplies

Contact Mount Holly at (844) 356-4901 for most non-customized DME, ambulatory assistive devices, home oxygen, and home respiratory equipment.

LabCorp 

All lab work should be referred to LabCorp with the exception of the in-office stat procedures. To obtain a listing of LabCorp Patient Service Centers, contact LabCorp at (800) 788-9091, or visit the LabCorp website at www.labcorp.com.

Physical Therapy / Occupational Therapy 

To pre-certify outpatient Physical Therapy/Occupational Therapy services, contact OrthoNet at (844) 356-4901. For more information on OrthoNet, visit their website at www.orthonet-online.com.

Provider Manual

Download the PDF here.

Provider Quick Reference Guide

Download the PDF here.

Optum (Chiropractic/Acupuncture/Massage Therapy Providers)

Download the PDF here.

Health Education Material (HEDIS)

Download the PDF here.

CAHPS

Download the Powerpoint here.