If you are a Participating Provider in the Crescent Network, Crescent Health Solutions is proud to be your health care benefits partner. This portal allows you to access important forms and check claim status – all in one place.
See below for Network Providers Login, Credentialing Forms link, and Precertification/Prior Authorization and Practice Change Forms.
Credentialing is the process of obtaining, verifying, and assessing the qualifications of a practitioner to provide care or services in or for a health care organization. Credentials are documented evidence of licensure, education, training, experience, or other qualifications. Crescent is accredited to URAC Provider Credentialing 3.0 Standards, ensuring employers, members, and providers that we are compliant to national standards and committed to quality health care.
NETWORK PROVIDERS LOGIN CREDENTIALING FORMS
Request for Precertification/Prior Authorization Form
Email completed form to: hmfax@crescenths.com
Fax completed form to: 828-670-9159
*RECEIPT OF PRECERT/PA FORM GUIDES NURSES ASSISTANCE TO YOU; PLEASE DO NOT CALL NURSES PRIOR TO SUBMITTING FORM. (NURSES ARE WORKING OFFSITE AT MOST TIMES OF THE WORK DAY.)
APPROVAL/DENIAL WILL PROVIDED TIMELY IN ALL CASES.
NOTE: Always refer to member’s insurance card to confirm Crescent provides precertification for the plan.
Groups 15772 and 1520, call American Health Holdings.
Practice Update/Change Form
With submission of form, please provide a written explanation of practice change.
DO NOT email forms containing PHI from our website to protect your and our members’ privacy.
Need assistance? Call 828-670-9145 or email credentialing@crescenths.com for additional help.
Not a provider yet? Call us today to learn how we can connect you through our preferred partner network!
Crescent Health Solutions is a diversified health services organization specializing in providing flexible, cost-effective, and easy-to-use healthcare delivery options, including health plan administration, third-party administrative services, a 40,000+ member PPO with access to 400,000 providers and 4,000 hospitals nationwide, cost-effective pharmacy benefit options, health and disease management oversight, and provider value-based clinical integration solutions.