Freedom Health embraces the concept of establishing a strong partnership with our healthcare provider network. We know that this partnership requires us to continually educate those partners regarding how our Plan works. We will be using this web page as one of many “tools” in that educational process. Some of the educational pieces you will see in the future include: Provider Manual, information about the Formulary, a discussion regarding our referral and authorization process. But let us begin by talking about our service commitments.

Freedom Health Service Commitments

Provider Relations:

• Freedom Health is committed to maintaining a useable up-to-date Provider Manual available in both “hard copy” and on-line versions providing day-to-day guidance in working effectively with the Plan.

• Freedom Health is committed to having a Provider Relations Field Representative in your county available to meet face-to-face with staff to answer questions and provide in-service opportunities.

• Freedom Health is committed to having exceptionally trained Physician/Provider Customer Service Representatives available by telephone to answer questions, provide claims status, and resolve problems during regular business hours.

• Freedom Health is committed to paying “clean claims” as defined by Florida Prompt Payment Guidelines – 20 days for submissions via EDI and 35 days for submissions via paper.

• Freedom Health is committed to assisting physicians/providers to submit claims for payment via electronic format (EDI) for purposes of efficiency, tracking, and improved payment turnaround.

• Freedom Health is committed to assisting physicians/providers in posting claims to their accounts receivable through designing an easy-to-use Explanation of Benefits (EOB).

• Freedom Health is committed to providing the most efficient methods to obtain referrals and authorizations including the ability to request referrals/authorization on-line.

• Freedom Health is committed to approving outpatient diagnostic services, ambulatory surgery, and non-urgent hospitalization requests within 24-hours of receipt of all necessary information.

• Freedom Health is committed to developing and implementing state-of-the-art disease management programs to assist our physicians/providers to provide the highest quality of care to their patients and to ensure the highest quality of life for their patients.

Technology:

• Freedom Health is committed to selecting and operating state-of-the-art software IT platforms for claims processing, enrollment management, member services, and information analysis.

• Freedom Health is committed to utilizing “web portals” for physicians/providers that allows them to interact with the Plan database in accessing information regarding member eligibility, claims payment status, and on-line referrals/authorizations.

• Freedom Health is committed to designing and maintaining a website whose goal is to provide up-to-date information about Plan benefit design, upcoming physician/provider educational programs, updates on disease management initiatives, opportunities to participate in surveys, and much more.

• Freedom Health is adamant about service. 

• Superior service to our Members means outstanding Florida-based telephone customer service.

• Superior service to our Members and Physicians means cutting-edge web access.

• Superior service to our Physicians means Provider Relations “field staff” in your market.

• Superior service to our Members and Physicians means a commitment to hire the most highly qualified staff and a commitment to training within our capabilities.

Contact Us
If you would like more information click here and complete the inquiry form.