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Providers

Welcome, providers!

Resources that help health care professionals do what they do best — care for our members.

At Simply Healthcare Plans, Inc. (Simply), we value you as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.

Looking for access to Simply’s legacy portal?

Need help regarding services rendered prior to the health plan’s transition to Availity?

For Medicaid transactions prior to rollout of the new SMMC contract, please visit the previous provider portal.

For Medicare member eligibility and benefits lookup before January 1, 2019, please visit the previous provider portal.

Availity access


The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity, you can:

Request Authorizations.
Submit Claims.
Confirm Eligibility.

Don't have an Availity account? Register for free now!

Availity is your one-stop to complete your transactions

Provider news


The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.

Medicaid updates

Continuity of Care Provider Notice

This notice serves to remind Simply Healthcare Plans, Inc (“Simply”), including its DBA Clear Health Alliance (“CHA”) providers and subcontractors who will not continue to participate with the plan under the new Medicaid Statewide Medicaid Managed Care Program (“SMMC”) contract of the continuity of care contract requirements post-termination.

Simply Healthcare Plans, Inc. and Clear Health Alliance EIS and TCM Continuity of Care Processes

This notice serves to provide information to Early Intervention Services (EIS) and Children’s Health Targeted Case Management providers concerning Statewide Medicaid Managed Care Program (SMMC) continuity of care (COC) requirements​ for new members that transition into Simply Healthcare Plans, Inc., inclusive of Clear Health Alliance.

Reimbursement Policy Update Notification

Effective December 1, 2018, reimbursement policies will transition to the Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply) provider website.

Looking for previous records?

Need help regarding services rendered prior to the health plan’s transition to the new provider website or services rendered prior to the health plan’s transition to Availity? Visit the previous provider portal

Provider Services phone numbers are changing

Between December 2018 and February 2019, Provider Services phone numbers for Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply) will change as plans are rolled out by region.

Medicare updates

Medicare Advantage claims and correspondence information

Effective for dates of service January 1, 2019 and after, Simply Healthcare Plans Inc. Medicare Advantage claims will transition to a new claims system. This will change the way that claims, correspondence, appeals, claim reviews and disputes are submitted to Simply. The following information will help you ensure that your Medicare Advantage claims are processed accurately.

Looking for previous records?

Need help regarding services rendered prior to the health plan’s transition to the new provider website or services rendered prior to the health plan’s transition to Availity? Visit the previous provider portal

Electronic data interchange moving to the Availity Portal

Effective December 1, 2018, the Availity Portal will be your partner for electronic data interchange (EDI) services. You may already be familiar with the Availity Portal as a claims clearinghouse, but it can do much more — it is also an intelligent EDI Gateway for multiple payers and will soon be the single EDI connection for Simply Healthcare Plans, Inc.

Provider Services phone numbers are changing

Between December 2018 and February 2019, Provider Services phone numbers for Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply) will change as plans are rolled out by region.

Featured resources


Pharmacist looking at prescription bottle

Pharmacy Information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Expectant mother sharing ultrasound

Maternal Child Program

We offer a proactive case-management program for expectant mothers and their newborns. The My Advocate™ program provides pregnant women with proactive outreach and education through interactive voice response (IVR), text or smartphone application.

Patient talking with counselor

Behavioral health provider

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Provider survey


We want to hear from you! Please help us improve our provider website by taking this brief survey.

Provider tools & resources

Interested in becoming a provider in the Simply network?

We look forward to working with you to provide quality service for our members.