Bravo Health

Update Your Information

Ensure your office is properly listed in the Bravo Health Provider Directory and that your claims payments are sent to the correct address by providing timely, advance notification of demographic changes.

Fax the following types of demographic changes to 1-866-234-9418 or email them to PDM@healthspring.com:

• Tax identification number;

• Office address;

• Billing address;

• Telephone number;

• Changes in practice limits or office hours;

• Specialty; and

• New Provider additions to an existing practice.

PCP Panel Reports

On a monthly basis, Bravo Health supplies each PCP with a Member panel report. The report contains a listing of all Members assigned to the PCP's membership panel and is sent to PCPs within five (5) days of receiving State eligibility files. PCPs are responsible for providing and/or coordinating care for the all Members on the report.

You can access your PCP panel report by going to the Bravo Health Provider Portal. If a Member does not appear on your PCP's panel report, call the Bravo Health Provider Services Department at 1-800-291-0396 to verify the Member’s PCP assignment.

Provider Credentialing

If you are not a Bravo Health STAR+PLUS Provider, but you are interested in joining, please refer to our credentialing policies and procedures located in the Bravo Health STAR+PLUS Provider Manual for participation requirements.

Download a credentialing application and submit it to Bravo Health as follows:

To determine the status of a previously submitted credentialing application, call the Bravo Health Provider Services Department at 1-800-291-0396.