Let's Get To The "Point": Check Out Our New Online Access Point For Providers
Select Health’s new Provider Access Point is here! This web page is your go-to source for a variety of tools, forms, and resources, including:
- Links to the Provider Benefit Tool, CareAffiliate®, Reports, Dental Fee Schedules (available in Utah only), and PromptPA
- Direct support from Provider Development and Provider Operations
- Details/status of credentialing & contracting-related inquiries
- And more!
Learn more about the Provider Access Point, and watch training videos.
Please ensure your colleagues and staff use the new Provider Access Point from this point forward. Your login credentials are the same as they are for other Select Health online tools.
Note: This change does not affect access to the claims (Provider Benefit Tool) or preauthorization (CareAffiliate) portals.
Questions? Contact us by email at providerwebservices@selecthealth.org.
New Online Preauthorization Tool Coming in September 2025
In mid-September 2025, Select Health will be moving to the new online Preauth & Care Plan Tool for medical preauthorization requests. CareAffiliate will be available in view-only mode for three months upon the launch of the new tool. More information will be coming soon, including training videos and other resources to help you get ready to use this new system.
- If you are already registered to use our online tools, you will be able to access the new preauthorization tool (login through Provider Access Point) using your current username and password.
- If you are not currently registered to use our online tools, we encourage you to register now to avoid delays once the new Preauth & Care Plan Tool becomes available. Register Now
Questions? Email us at web.preauth.support@selecthealth.org with any questions or concerns regarding the new Preauth & Care Plan Tool.
Hedis Osteoporosis Management Measure (OMW): Screening & Treatment Options
The HEDIS osteoporosis management measure (OMW) reflects the percentage of women ages 67–85 on Select Health Medicare who suffered a fracture and who, in the 180 days (6 months) after a fracture, had
EITHER:
- A bone mineral density (BMD) test; OR
- A prescription for a drug to treat osteoporosis
Bone Mineral Density Screening: DEXA Scan
Select Health encourages members to have a follow-up bone density test within 180 days of a fracture. This test should be a DEXA scan that either the primary care or endocrinology provider orders or the member receives through House Call Doctors™ (available in Utah only), a vendor we have partnered with who offers an in-home osteoporosis screening option. House Call Doctors can be reached at 801-485-5055.
Osteooporosis Medications
If the member completes a DEXA scan via either option within the 180-day time frame, they will receive $50 added to their Flexible Benefits card. Osteoporosis Medications To ensure optimal outcomes, the member must:
- Be prescribed an osteoporosis medication; and receive the medication from the pharmacy
Table 1 below indicates Select Health-covered medications for the treatment of osteoporosis.
Be Aware: Medicare Fraud Scheme Involving Phishing Fax Requests
The Centers for Medicare & Medicaid Services (CMS) recently released a notice alerting providers of a scheme to obtain Medicare patient records. This scheme involves requests faxed to providers for all patient information and medical records of Medicare patients, often demanding information within a 72-hour deadline. These faxes also may include CMS headers in order to appear authentic.
Please be aware that medical record reviews requested by CMS or their contractors will identify specific Medicare beneficiaries, time periods, and encounters or prescription drug event records involved. These requests also typically provide 30–45 days for response.
If you receive a fax that appears to be fraudulent or any other potentially inappropriate requests for Medicare patient information, please report it to CMS through the Health Plan Management System Program Integrity portal.
Reminders For Colorado Providers
2027 Select Health Med Network Expansion
Thank you for being part of the Select Health provider network. Select Health successfully entered the Colorado market in 2024 by offering products for Medicare and ACA members. Select Health is excited to announce that we will be expanding our product offerings in 2027 by entering the commercial large employer and small employer space. As part of this expansion we will be amending your current contract to include you in this commercial network that will be named the Select Health Med Network. This will give you the opportunity to see Select Health employer based lives that will be sold in 2027. The Med Network amendment was sent via email on July 15, 2025.
Questions? Contact us at COproviderrelations@selecthealth.org.
Reminders For Nevada Providers
Enroll with Zelis for Medicare EDI Transactions
Starting on August 1, 2025, EDI information for Intermountain Nevada Medicare providers should be sent through Zelis. Enroll now to avoid delays in your payments.
To enroll, call 855-496-1571 to speak with a Zelis representative who will guide you through the enrollment process, or visit www.zelis.com/provider-solutions/provider-enrollment/ to submit an online request form.
Questions? Contact us at NVproviderrelations@selecthealth.org.
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