HBI Network serves members of several insurance plans and each plan design is unique. When you were admitted into the HBI Network, you received a welcome letter and a copy of the agreement with the insurance plans you are contracted with. It is your responsibility as a provider to understand the terms and conditions in regards to eligibilities, authorization, and claim submission, specific to each plan. A copy of the current Contracted Plan Summary Guide can be requested by e-mailing firstname.lastname@example.org.
Whether it’s fee-for-service or managed care plans, HBI adheres to the Medicaid Services Manual – Chapter 400 in rendering services to Medicaid recipients. Medicaid plans have separate guidelines for provider eligibilities and enrollment. To verify if you are eligible to render services to Medicaid recipients as an HBI provider, please contact our Provider Service at email@example.com.