Whole Health Plan Provider Resources
WebTPA is the medical claims administrator for the Whole Health Plan. Please send all claims to WebTPA. If you have questions regarding claim status or member benefit information, please call 844-380-4554.
WebTPA Provider Portal
Availity Essentials is WebTPA’s secure portal for providers. This provider portal allows you to verify patient eligibility and benefits, submit and track claims, manage authorizations and appeals, utilize a remittance viewer, and more.
Prime Therapeutics Provider Resources
Prime Therapeutics is the pharmacy benefit manager (PBM) for the Whole Health Plan and offers providers access to medical pharmacy solutions and pharmacy benefit management resources.