Gold Kidney is always accepting applications from healthcare providers who are interested in becoming a part of our network.
With the Gold Kidney member portal, easily access claims status and verify eligibility and authorization details for your patients in a single tool for enhanced care coordination.
Check out Part 2 of Revele’s Annual Wellness Visit webinar series: AWV Components and Billing
is the number one focus and priority for Gold Kidney and its network of trusted physicians and partners
for select treatments and prescriptions associated with certain chronic conditions
including assigned member advocates, concierge services, and wellness benefits
Patients residing in Gold Kidney Health Plan’s service areas can benefit from all available plan benefits regardless of if their primary care physician is in or out of network.
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.
Gold Kidney offers electronic claims submission through Availity. Through our relationship with Zelis, we offer Electronic Funds Transfer, which reduces provider expenses, shortens the reimbursement cycle, and streamlines provider workflows.
Search here to find a provider, facility, dentist, or pharmacy within our network and access commonly used resources and tools.
Search for in-network doctors, facilities or print the directory. You can search by zip code, specialty, distance, and gender.
See which medications are covered or require pre-authorization.
Search to find a pharmacy in our network and access pharmacy-related forms.
To request a printed directory, please contact Member Services at (844) 294-6535 (TTY 711).
Find reference guides, resources, and forms that contain the most important information you will need when working with Gold Kidney members.
Take the training on how Gold Kidney and its providers will work together to enhance member health outcomes through an integrated care delivery system.
Become a key partner in our Gold Standard of care – providing a patient-centric approach for standard Medicare Advantage patients and those with ESKD, and chronic conditions like diabetes, cardiovascular conditions, and chronic heart failure that can lead to chronic kidney disease.
Enter your zip code to find Medicare Advantage plans that suit your needs.
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