Shannon Wright
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Recent activity by Shannon Wright-
If the information is current, why do you suggest that I call my hospital or doctor to confirm participation?
The NYS Provider & Health Plan Look-Up will display the most recently submitted data from each health plan, which may not include changes made within the past 15 days. However, because provider net...
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What should I do if the data appears incorrect or if my provider says that they do not participate with my health plan, but the NYS Provider & Health Plan Look-Up tool says they do?
Report any concerns about potentially inaccurate information in the NYS Provider & Health Plan Look-Up by clicking ‘Contact/Report an Error’ at the top of the page, selecting the health plan the is...
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How often in the data updated?
The data on the NYS Provider & Health Plan Look-Up is constantly being updated to give New Yorkers the information they need to make the best healthcare decisions for themselves and their families....
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Why do two health plans show different locations for the same doctor?
In some instances, a provider practices in more than one location. Only those office/facility locations shown on the NYS Provider & Health Plan Look-Up results page are considered in-network. Since...
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Why do two health plans show different specialties for the same doctor?
The NYS Provider & Health Plan Look-Up results page will display a provider’s specialty as submitted by the specific health plan. While in most cases a doctor’s specialty will be the same for all h...
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How do I know who will speak my preferred language at the facility?
Results will yield language spoken by a clinical staff member at the practice location.
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How are provider specialties displayed?
The NYS Provider & Health Plan Look-Up will display all specialties of a provider reported by the health plans, on the initial ‘Search by Provider’ results page. Health plans might contract with pr...
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How does the NYS Provider & Health Plan Look-Up display networks for the plans?
The NYS Provider & Health Plan Look-Up will only provide information on the type of providers and services that participate with the plan. For example, there are no primary care physicians (PCPs) i...