The Whole Health Plan offers resources to assist our participating providers on how to find the answers you’re looking for!
WebTPA is the medical claims administrator for the Whole Health Plan, and all claims are to be sent to WebTPA.
For additional information about member benefits or to check claim status, please call 844-380-4554.
Provider Portal
Availity Essentials is WebTPA’s official secure portal for providers. This provider portal offers tools such as: Electronic Claim Submissions, Eligibility & Benefit Inquiries, Claim Status, Claim Attachments, Remittance Viewer, and Authorizations
Whole Health Plan Pharmacy Resources
The Prime Therapeutics page will assist providers by locating all documents, forms (including formularies), and in-network pharmacies near you. Be sure to specify “WFM” as your group code. Click below to browse documents, formularies, and in-network pharmacies near you.