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...
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I am enrolled in Medicaid, but I am not in a managed care plan. Will the NYS Provider & Health Plan Look-Up show providers who accept Medicaid fee-for-service?
No, the NYS Provider & Health Plan Look-Up will not display information about providers or facilities that accept Medicaid fee-for-service. You should ask the provider if they accept Medicaid fee-f...
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Does the NYS Provider & Health Plan Look-Up include information for Medicare Advantage Plans?
No. Medicare Advantage is administered by the federal Centers for Medicare and Medicaid Services. To get information about Medicare Advantage plans, contact the specific health plan(s) or visit the...