Welcome, Providers

Latest Updates

• New Functionality! NaviNet® Claims Investigation Attachments (PDF)
• Signify Health to provide in-home health evaluations (IHEs) (PDF)
• Sucralfate Recall Notice: Nostrum Laboratories, Inc. issues a voluntary nationwide recall (PDF)
• Improvements to the claims overpayment response process are on the way (PDF)
• Supporting documentation for prior authorization requests (PDF)
• Summer issue of Connections available online (PDF)
• Updated respiratory pathogen panel reimbursement policy (PDF)
• Risk Adjustment Program — New vendor, UST HealthProof, will offer Provider Engagement Coordination (PEC) and retrospective chart review services (PDF)

Let's improve health outcomes for members with diabetes

Diabetes remains a leading cause of death in the United States, with total direct and indirect medical costs estimated at $245 billion, according to the American Diabetes Association (ADA). The ADA reports that an increased number of cases are reported every year.

Learn more about our diabetes programs

Healthy Families, Safe Communities — Keystone First Putting Safety First

We invite you to partner with Keystone First and join us in making a long-term commitment to being anti-violence advocates. We are launching Healthy Families, Safe Communities, an education campaign including materials and resources for both members and providers.

This program will address many issues, including gun safety, dating safety, and prescription medicine abuse.

Healthy Families, Safe Communities

Let Us Know

Learn about our program developed to assist your practice in engaging and managing the healthcare needs of chronically ill Keystone First members. 

Quick Contact Information

• Provider Services: 1-800-521-6007
• Email (for providers only)
• Ancillary Account Executives (PDF)
• Community Based Account Executives (PDF)
• Hospital Account Executives (PDF)