Simply Healthcare Provider Home

Providers

Welcome, providers!

Resources that help health care professionals do what they do best — care for our members.

At Simply Healthcare Plans, Inc. (Simply), we value you as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.

COVID-19 Information from Simply Healthcare Plans, Inc.


Simply Healthcare Plans, Inc. is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

Florida Healthy Kids


Simply Healthcare Plans, Inc. (Simply) offers coverage to FHK-eligible children in all 11 regions of Florida, representing 67 counties.

FHK’s mission is to ensure the availability of child-centered health plans that provide comprehensive, quality health care services. The program has a subsidized plan for children ages 5 through the end of age 18 whose families exceed the income eligibility threshold for Medicaid, as well as full-pay options available for those who don’t qualify for subsidized coverage

Provider news


The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.

Medicaid/Florida Healthy Kids updates

Health Equity and Unconscious Bias Training

You’re invited to join an upcoming webinar hosted by Simply and the FMSQN on Health Equity and Unconscious Bias.

Colorectal Cancer Screening Reminder

We need your help to ensure your patients, our members, are up to date with their colorectal screenings.

LabCorp Reminder

LabCorp is our exclusive independent laboratory provider. Using an in-network laboratory helps patients maximize their lab benefits and minimize their out-of-pocket expenses.

Medicare updates

Transportation Vendor Update

January 1, 2023, Ride2MD will be the designated transportation provider for all Simply Medicare coverage areas.

Colorectal Cancer Screening Reminder

We need your help to ensure your patients, our members, are up to date with their colorectal screenings.

LabCorp Reminder

LabCorp is our exclusive independent laboratory provider. Using an in-network laboratory helps patients maximize their lab benefits and minimize their out-of-pocket expenses.

Looking for the secure portal?


Please visit the Availity portal.

Don't have an Availity account?  Register for free now!

Need help with Availity? Learn more

Availity access


The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

Learning opportunities

Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.

Launch Provider Learning Hub Now

At Availity, you can:

Request Authorizations.
Submit Claims.
Confirm Eligibility.

Don't have an Availity account?  Register for free now!

Availity is your one-stop to complete your transactions

Receive email from Simply

Simply is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.

Featured resources


Pharmacist looking at prescription bottle

Pharmacy Information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Expectant mother sharing ultrasound

Maternal Child Program

When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the Taking Care of Baby and Me® program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.

 
Patient talking with counselor

Behavioral health provider

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

NCQA Health Plan Recognition


The National Committee for Quality Assurance has awarded an accreditation status of Accredited for service and clinical quality that meets the basic requirements of NCQA’s rigorous standards for consumer protection and quality improvement.

NCQA Health Plan Accreditation surveys include rigorous on-site and off-site evaluations of over 60 standards and selected HEDIS® measures. A team of physicians and health plan experts conducts accreditation surveys. A national oversight committee of physicians analyzes the team’s findings and assigns an accreditations level based on the performance of each plan being evaluated to NCQA’s standards.

Provider survey


We want to hear from you! Please help us improve our provider website by taking this brief survey.

Provider tools & resources

Interested in becoming a provider in the Simply network?

We look forward to working with you to provide quality service for our members.