Accreditation

Company Name: Virginia Premier Health Plan, Inc.
Sites: Richmond, Tidewater, Roanoke, Bristol
Program: Managed Care Organization
Product Line: Medicaid
Status: Commendable
Effective Date: July 8, 2019
Exp. Date: July 8, 2022

Virginia Premier is accredited with the National Committee for Quality Assurance (NCQA). NCQA is an independent not for profit organization that ranks health insurance plans throughout the nation. NCQA evaluates how health plans manage all parts of their delivery systems – physicians, hospitals and other providers in order to continuously improve health care for its members. Accreditation surveys include rigorous on-site and off-site evaluation of over 600 standards and selected performance measures.  

Accreditation is not a one-time event, but an ongoing journey to support quality services for customers, members and practitioners. Virginia Premier is committed to excellent services to our customers and have an ongoing plan to monitor the progress towards the goal of excellence.

NCQA’s mission is to provide information that enables purchasers and consumers of managed health care to distinguish among plans based on quality. Virginia Premier earned a “Commendable” accreditation status from the National Committee on Quality Assurance for the Medicaid product line on July 8, 2019. This accreditation will expire on July 8, 2022. 

Resources

By logging in to this portal, I affirm that I have read, understand and agree to abide by the following terms and conditions: 

I certify I am a health care provider, an employee of a health care provider, a business associate of a health care provider, or an employee of a business associate, and the purpose of my access to any Virginia Premier System is related to the provision or payment of health care services.

With respect to all information viewed or obtained from this site, I agree to comply with all applicable federal and state laws regarding the confidentiality and integrity of health and medical records. This includes full compliance with the Health Insurance Portability and Accountability Act of 1996 (‘HIPAA’), the HITECH Act, and the Virginia Health Records Privacy Act, and applicable regulations to these laws.

I agree to keep confidential all information related to Virginia Premier System business, including, but not limited to, quality and risk management activities as well as other confidential or personal information concerning the medical, personal, or business affairs of Virginia Premier System and its members.

I agree to notify Virginia Premier System immediately in the event that my network access has been compromised in any way and in the event of unauthorized use or disclosure of any information obtained from the Virginia Premier System network.

Need to register for a new account? Click here.

In order to register for an account, if you would like access to all group NPIs/APIs under a single Tax ID, please enter your Tax ID only. If you would like access to a specific group NPI/API instead, please enter it in the field provided. 

For expedited registration, please provide a Claim number and the Total Billed Charges on the claim when creating your account.

You will receive an email within 3-5 business days with your username and temporary password.

Please call Technical Support for help with Virginia Premier’s Provider Portal at 1-877-814-9909 or email connect@healthtrio.com. 

Virginia Premier is offering EFT services through PaySpan.

Please click here to sign-up

If you have questions or need help please, contact our Provider Services department at vphpnetdev@virginiapremier.com or by calling 804-968-1529.