Friday Health Plans Partnership

Hometown Health is pleased to partner with Friday Health Plans effective January 1, 2021. Friday Health Plans will be leasing Hometown Health’s PPO network. They will utilize Hometown Health’s PPO contracted rates and Hometown Health will be pricing claims based on those rates. If you are contracted with Hometown Health, you are able to accept and provide care to Friday Health Plan members as an in-network provider. We encourage you to register at Friday Health Plans Provider Portal to view member eligibility and claim information.

*Possession of the ID card does not guarantee eligibility of coverage. Providers must verify prior to services being rendered for non-urgent or non-emergent.*

Member Identification

• To verify eligibility, call Customer Service at 844-535-2000
• Login to the Friday Health Plans Portal: providers.fridayhealthplans.com/p/
• Possession of the ID card does not guarantee eligibility of coverage. Providers must verify prior to services being rendered for non-urgent or non-emergent.

Customer Service Team:

• Customer Service Number: 844-535-2000
• Member eligibility
• Claims issues
• Authorization requirements
• Benefits and member questions
• Provider dispute resolution assistance
• Referral and authorization status
• Formulary questions

Preauthorizations/Referrals

• If a Specialist will be performing any procedures, they must request authorization by submitting a referral directly to Friday Health Plans
• Utilization Management review is required and documentation may be requested for:
  • Request for Authorization Form
  • Non-covered Services List
  • Notification Preauthorization List

  Claims Submissions

  • Paper Claim Submissions
    • Claims must be on an HCFA1500 or UB-04 with ICD-10 Codes
    • Mail to: Friday Health Plans, PO Box 194, Sidney, NE 69162
    • Friday Health Plans Payer ID – H0657
    • Clearinghouses Used: ChangeHealth
    • Call Customer Service: 844-535-2000

    Provider Payment Information

    All payments go through our payment vendor, Zelis Payments.

    This partnership enables us to offer you secure e-payment options to accelerate settlement of claims payment and add efficiency to your revenue cycle.

    To update payment and remittance delivery methods, or notification options, please call Zelis Payments Client Service at 877-828-8770 or visit zelispayments.com.

    Explanations of Payment (EOPs) are available through the Zelis Provider Portal.

    Frequently Asked Questions

    • Is it necessary to contract directly with Friday Health Plans?
      • No. It is not necessary to contract directly with Friday Health Plans. This client will utilize Hometown Health’s PPO contracted rates.
      • Friday Health Plans will be handling all member services. Hometown Health will only be pricing claims.