Well Sense Health Plan has contracted with the New Hampshire Department of Health and Human Services (DHHS) to serve New Hampshire Medicaid members. Well Sense is an experienced, not-for-profit leader in managed care and committed to providing high quality health coverage to our members.
It’s easy to find everything you need to work with us. In this section you can:
- Login to view and download provider reports, check member eligibility, and view payments
- Search the drug formulary
- View payment and clinical policies
- Go to pharmacy prior authorization forms
- Go to prior authorizations for services
- Review clinical practice guidelines
- View important network notifications
- View important contact information
- We no longer accept modifications to claims over the phone. If any data element of the claim is incorrect and requires a change for reprocessing and payment, please submit a Corrected Claim by following the documented processes outlined in our Provider Manual.
- HealthTrio Connect provider portal update
- Sleep Study Prior Authorization Time Period Extended - Due to feedback from our network providers, effective immediately and going forward, prior authorization for sleep study requests will be granted for three months from the date of receipt or three months from the scheduled date of service if indicated on the prior authorization request.
- EDI for easy claims submissions & fast payments. Sign up for electronic claims submission, remittance advices, online and real-time member eligibility look-up, and other e-services. Learn more.