For Providers
Thank you for participating in the MercyOne Health Plan provider network. Access everything you need to put your patients first.
Provider Portal
Verify eligibility, view claims history and payment status, and message our Provider Services team securely.
Provider Admin Manual
Your go-to resource for everything you need to succeed with MercyOne Health Plan. Find patient eligibility information, billing procedures, prior authorizations, referrals, policies, and more.
Provider Communication
Stay up to date with our monthly "Provider Update" newsletter. Find recent editions for key information affecting your work and our members.
Provider Forms
Looking for a form? Download and print essential forms for managing cases, claims, and more.
Additional Resources
Access essential tools like member plan documents, drug formulary, Medicare manuals, guides, and more — all in one place.
Not a MercyOne Health Plan provider?
We’re on the lookout for health care providers to join our growing network! Discover why joining MercyOne Health Plan is right for you and your patients.
Have questions? We're ready to help!
No matter what you need, our Provider Services team is just a phone call away.
Call: 1-800-991-9907 (TTY: 711)
Fax: 1-833-900-0607
Our team is available from 8 a.m. to 5 p.m. (Eastern time), Monday through Friday to assist you. Please note that our call center is closed from 12 to 1 p.m. for lunch.
This page was last updated 08/28/2024