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For Providers
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Being a trusted partner is a top priority.
Thank you for visiting our Delaware First Health provider website. This site has information and resources that can help you manage your day-to-day as you care for members and engage with us. As your partner in care, we are committed in providing the best provider experience so you can focus on what matters—providing quality care for our members.
Contact a Provider Services representative at 1-877-236-1341 to address general questions about member eligibility, claims inquiry/status and more. Your assigned Provider Engagement Account Manager (PEAM) is your liaison with the plan who can address more specific questions.
You may find your assigned PEAM on the Provider Engagement Account Manager Territory (PDF).
Secure Provider Portals
Delaware First Health partners with Availity Essentials, a multi-payer portal, to offer select secure provider portal services. Our current legacy portal will continue to remain active and available to you. The Secure Provider Portal (Legacy) and Availity Essentials are the fastest ways to get help with routine tasks.
Both portals offer convenient self-service options to get you fast results for:
- Authorization Requirements/Status
- Authorizations Requests
- Benefits/Copayment Information
- Claims/Reconsiderations/Appeals Status
- Eligibility Verification
- Submit Appeals/Claims/Claims Disputes/Corrections
Follow the link below to get started!
Provider Communications & Resources
Please see our Provider Communications page. A dedicated space for staying informed about the latest updates, resources, and important announcements relevant to your practice. Here, you can easily access provider news, sign up for email updates, and manage your communication preferences—all in one convenient location.
Please visit our Provider Resources page for all the essential tools, forms, and information you need to support your practice and deliver high-quality care to your patients. We’ve gathered a comprehensive collection of resources to make your work easier and more efficient, so you can stay informed and stay focused on what matters most—providing excellent care.
Join Our Networks
Thank you for your interest in becoming a provider in our Medicaid (Delaware First Health), Health Insurance Marketplace (Ambetter Health of Delaware) and/or Medicare/DSNP (Wellcare) networks.
Click below for more information on joining our networks.
Other Delaware Plans
Ambetter Health of Delaware is our health insurance marketplace offering which provides affordable, comprehensive solutions individuals and families who may not qualify for Medicaid or have access to employer coverage.
Wellcare offers Medicare Advantage and Dual Eligible Special Needs Plan (D‑SNP) products through a variety of plans designed to serve eligible populations. With the addition of our D‑SNP, Wellcare by Delaware First Health, we are better able to coordinate care and support the unique needs of our members.
To join any of our networks, complete the online Contract Request Form.
