Frequently Asked Questions for Provider Relations

1. Does Atlantis pay its providers through capitation or fee for service?
2. How long does it take to become a provider in the Atlantis Network?
3. Is there a fee to join the provider network?
4. How quickly are claims processed?
5. Do I need to precertify procedures, or get authorization before performing a service?
6. Do you have a Provider Directory?
7. Do you have many hospitals in the network?

We pay fee for service for all of our network providers.

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We are able to process provider applications within 45 days of receipt of a complete application.

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No. Providers can participate in our network at no cost.

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Atlantis is processing claims within 15 days of receipt of a clean claim. More information about our claims submission and processing procedures can be found on page 16 of our Provider Manual.

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Yes. Some procedures require that you contact Atlantis for pre-authorization prior to treating the member. Details about our pre-certification process can be found on your Quick Reference Pre-Authorization Guide. This list is updated by the plan from time to time. To request the most current list, please call Member Services Department at 1-866-747-8422.

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Yes. You may access our provider network information through our provider search function, available on line.

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Yes. We have most of all the major hospitals under contract in NYC and the surrounding counties, and our provider network is expanding rapidly. You can access a list of the contracted hospitals by using our provider search function, available on line.

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