What you need to know about  Coronavirus and your HAP coverage.

How long is the process for becoming a HAP participating provider?

The process takes about 90 days. If it’s been more than 90 days since you applied, you may check the status of your application by contacting...

What is HAP monitoring and responding to specialist visit and cost increases?

HAP will continue to monitor physician practice patterns and utilization through our physician report cards, Episode Treatment Groups (ETG) and...

Who determines medical neccesity for services on the referral Requirement List?

For covered services, we will rely on the ordering physician to use evidence based guidelines to determine medical appropriateness of care and...

When is my HAP contract effective and when can I start treating HAP members?

Once we process your application, you will receive a welcome letter from HAP with your effective date and participating lines of business. Please...

How will the PCP be notified of follow-up specialty visits?

As always, the specialist is responsible for keeping the PCP informed of the member’s progress and treatment plan.

What is a fee schedule?

A fee schedule is the allowed amount for services. HAP-contracted providers can access the fee schedule by logging in, and under Quick Links, click...

What is the out-of-pocket limit in 2017?

As of January 1, 2017, non-grandfathered health plans must cap in-network out-of-pocket expenses to: $7,150 individual $14,300 family...

Can referrals be entered in IRA for services labeled as no referral required?

No, if you attempt to enter a referral in IRA for services not requiring a referral, users will receive a pop up message indicating no referral is...

Can I admit my patients to any HAP contracted hospital where I have privileges?

Yes. Except for specific limitations noted in the Provider Directory, physicians can admit patients to any HAP contracted hospital at which they...

What are the requirements for becoming a HAP participating practitioner?

Complete a physician information form (PIF). Must have admitting privileges at a HAP-contracted hospital, or be covering for a HAP-contracted...

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