hap patient portal

How do I view my Hap plan documents?

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What does it mean to be a Hap provider?

HAP Names Archana Rajendra Vice President, Deputy General Counsel. DETROIT, February 7, 2022 – Health Alliance Plan, a Michigan-based nonprofit health plan, has named Archana Rajendra vice president and deputy. February 1, 2022. HAP Names Christine Harder Senior Vice President Provider Network Management.

What happens when you join the HAP network?

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How do I get prior authorization from Hap for hospital visits?

DETROIT, February 7, 2022 – Health Alliance Plan, a Michigan-based nonprofit health plan, has named Archana Rajendra vice president and deputy. February 1, 2022. HAP Names Christine Harder Senior Vice President Provider Network Management.

The resources you need to provide top-notch care

One of HAP’s greatest strengths is our large and diverse provider network. Our network includes award-winning and patient-focused doctors, hospitals and health systems in Michigan. And it continues to grow.

Why join HAP?

When you join the HAP provider network, you get a health care partner committed to improve the quality, value and services you provide to your patients.

Radiology Billing & Coding Experts

Healthcare Administrative Partners (HAP) provides revenue cycle management, clinical analytics, and comprehensive practice management solutions for radiology practices. We also provide coding services for multispecialty practices.

Looking for Specialized Radiology Revenue Cycle Management Support?

Outsource your revenue cycle management to HAP, and benefit from a team of third-party medical billing professionals and certified coders with decades of experience in the healthcare industry and deep insight into radiology.

What Sets Us Apart?

Client service is our number one priority. It is what differentiates us from other medical billing and coding companies. It is the reason why our clients recently gave our medical billing team a score of 98.6% for relationship building and overall professionalism. And, it is the reason why client referrals represent our #1 source of new business.

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A provision of the 21st Century Cures Act of 2016 took effect earlier this year after several delays and postponements. As of April 5, 2021, providers found guilty of “information blocking” could […] Read More ›

How long does it take for a HAP to bill?

The provider should bill us within 12 months from the date of service. Providers who do not have a contract with HAP may require you to pay in advance. When this happens, you can request reimbursement for covered services from us within 12 months of the date of service.

How long is the grace period for HAP?

If you are enrolled in a HAP Personal Alliance plan through the Marketplace and you are receiving Advance Payments of the Premium Tax Credit, you are entitled to a grace period of three consecutive months.

When are premiums due for a health insurance plan?

Once your coverage is effective, monthly premium payments are due the first of each month of the coverage period to which they apply . Your plan provides a grace period for payment of premiums. The type of grace period depends on the type of plan you are enrolled in.

What is EOB billing?

Costs you are responsible for (copay, coinsurance, deductible) Any services that were not covered. The EOB is not a bill. It's an explanation of how your claim was processed. If you have questions about your EOB or how a claim was paid, call Customer Service at the number on your ID card.

When are premium payments due?

Premium payments are due on the first of the month or as otherwise indicated on your monthly invoice. If you were overbilled for any reason or are due a refund as a result of retroactive changes, you may be entitled to a refund or a credit toward future premium payments.

What is retroactive denial?

A retroactive denial is the reversal of a previously paid claim. Other than during the grace period, you are not entitled to any covered services during any period of time in which you have not paid your premium. If you receive covered services during such a time, you must pay the provider for the full cost of these services.

How long does it take for HAP to make a decision?

For elective admissions, HAP will make a decision within 15 days of the request. For medically urgent requests, HAP will make a decision within 72 hours of the request.

Referrals

Need to see a specialist? No problem. With HAP, specialty office visits don’t require referrals from your primary care physician. But in some cases, the specialist you see may require a referral from your PCP. Many specialists are booked out months in advance, and may only accept patients whose PCP believes they need specialty care.

Prior authorization

Sometimes specialists may suggest procedures we don’t feel are the best course of action for a patient. That’s why we want members to check with us so we can help manage their care. This is called prior authorization. If your service requires prior authorization, your doctor will take care of it on your behalf.

For hospital stays

For inpatient hospital stays, your doctor will get prior authorization from HAP. Emergency room visits don’t require prior authorization. Simply, notify HAP within 48 hours of the emergency admission.