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.
Crescent has changed claims vendors and new login credentials are required for your access to the benefits portal. You may contact delane.stiles@crescenths.com for your registration details.

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 compliant to national and NC credentialing standards and statutes and is 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 the Precert/PA form guides our nurses’ ability to assist you. Please do not call nurses prior to submitting this form, and note that nurses are working off-site most days.
Approval or denial will be 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.