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MultiPlan Providers

MultiPlan Providers

Staying Informed and Connected is Vital for Our Healthcare Community

Our story began by listening to patients with chronic diseases. Patients have been telling their doctors that they cannot afford necessary treatments for their chronic conditions due to the limited availability of Chronic-Special Needs Plans. Over 100 nephrologists decided to start Gold Kidney Health Plan to provide coverage for patients with chronic diseases that address their unique needs.

Authorizations & Referrals

Authorizations and referrals are a breeze! Prior authorizations are required for a small number of services. No written referrals or authorizations are required for cardiology, cardiovascular surgeons, endocrinology, or nephrology services or providers.

Claims & Payments

Easily process claims and receive prompt payments. Gold Kidney offers electronic claims submission through Availity; Availity payer ID: A6865. We offer Electronic Funds Transfer through Zelis. This shortens the reimbursement cycle and streamlines the entire workflow.

Model of Care Training

Gold Kidney offers providers Model of Care training that meets CMS regulatory requirements. This training educates providers and their staff who work with our members on the unique needs of this population and how our Medicare plans can help them.

As part of the MultiPlan provider network, we offer a full suite of services to assist physicians and specialists to make it easier for you to deliver quality care to your patients.

See MultiPlan FAQs
MultiPlan Overview

Our service areas in Florida

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Contact Us

HQ Location
4600 E Washington St, #300
Phoenix, AZ 85034

Mailing Address
P.O. Box 285
Portsmouth, NH 03802

(844) 294-6535 (TTY 711)
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Hours of Operation

Monday through Friday 8am – 8pm local time (except holidays)

Gold Kidney Health Plan, Inc., is an HMO-POS and HMO-POS C-SNP with a Medicare contract.
Enrollment in Gold Kidney Health Plan depends on contract renewal.
Last Updated: April 17, 2025 | Y0171_GKHPWebsite_M | Copyright © 2025 Gold Kidney Health Plan
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