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Managing

integrated healthcare

with a conscience.

Provider Information

The Provider web page(s) are available to provide an efficient means for NARBHA's provider network to access specific information that NARBHA feels is necessary to manage member care and monitor provider performance. Use the sub-menu to the left to access other provider tools and resources. 

 

Recent Update!

2014 Member Handbooks - English and Spanish Versions - Available

New page on the DBHS website updates Medication Guidelines
 

 



Claims Query

  • Allows direct service providers to look up information on their claims submitted to NARBHA for adjudication. This information is updated after every NARBHA claim cycle.  This process is located on the secure portion of the NARBHA web site.
  • Direct service providers can look up information on their claims submitted to NARBHA by using the Claims Query web application located under the Provider Information tab. This process is limited to provider staff that have been issued a User ID/ password.

Enrollment Verification

  • Allows direct service providers and other stakeholders to determine if the members are enrolled at NARBHA. This information is refreshed daily.  This process is located on the secure portion of the NARBHA web site.
  • Direct service providers and other stakeholders can now verify NARBHA enrollment information through the NARBHA web site. This process is limited to provider/stakeholder staff that have been issued a User ID/ password.  

Provider Monitoring

  • Identifies the provider's performance against the standard set of performance measures applied to all like providers. 
  • Direct service providers and other stakeholders can now verify NARBHA enrollment information through the NARBHA web site. This process is limited to provider/stakeholder staff that have been issued a User ID/ password.  

Prior Authorization Requests

  • Emergency services are never prior authorized. Please, provide the clinically appropriate service, and then contact NARBHA Medical Management Department for additional instructions at 1-928-774-7128.
  • For non-emergency inpatient psychiatric hospitalizations, Level I Residential Treatment Center (RTC) admissions, Level II, Level III, and Home Care Training (HCTC), prior to admission, see DBHS/NARBHA Policy 3.14 Securing Services and Prior Authorization for instructions and forms that must be faxed to the NARBHA Utilization Care Management Department at (928) 214-1166). 24 hour assistance is available by contacting NARBHA Utilization Care Manager at 1-928-774-7128.

Requesting Access/ User ID 

  • Want to access secure portions of the NARBHA website?  Download and complete the Web Site User Access Application form located on this page.  The form contains instructions on completion and submission.

Other Resources