PeakTPA

Welcome to the PeakTPA provider portal for medical and institutional providers who bill the following health plans:


  • ArchCare
  • CHS Buffalo
  • Complete Senior Care
  • Elder One
  • Troy Medicare (HMO & DSNP)

Already have an account?  Enter the username and password you selected when registering and click Login in the box to the right to enter the portal.


REQUEST ACCESS

To request access for one of the health plans above, send email to providerportal@careventionhc.com with the following information:


 - Health plan you bill for services from the above list

 - Your first and last name

 - Email address to be registered to your account 

 - Your phone number

 - Your provider, medical group, or facility name

 - TaxID

 - Your NPI (if billing for a single provider include the individual provider ID, if billing for a medical group include the group NPI, if billing for a facility include the organization's NPI)


You will receive credentials from providerportal@careventionhc.com once your account has been activated. Please allow three (3) business days for response to your request.  

 
 
 
SMART DATA STREAM PORTAL

Peak has partnered with Smart Data Solutions to provide access to the Smart Data Stream Provider Portal for direct submitters!  You can upload a claim file if you're able to create an 837, or you can do direct data entry and key in a new claim.  


Learn more here and check out this video showing how easy it is to get signed up with SDS!  Submit your claims on the SDS portal, and check claim status, eligibility, and search for auths here in the Peak Provider Portal!

   

BILLING GUIDANCE FOR PROVIDERS

Institutional Billers

The National Uniform Billing Committee (NUBC) was developed to maintain a single billing form and standard data sets to be used nationwide by institutional, private and public providers and payers for handling health care claims. The Institutional UB-04 Billing Guidance details all required elements for submitting standardized and non-standardized claims.  

Download Institutional UB-04 Billing Guidance


Professional Billers

The National Uniform Claims Committee (NUCC) was developed to promote the development of national standards for the professional claims process. Using NUCC guidance, the Professional Billing Guidance details all required elements for submitting standardized and non-standardized professional claims.

Download Professional CMS-1500 Billing Guidance



Need help registering for the PeakTPA Provider Portal, tips for navigating the site, or need to reset your password?  

Just email providerportal@careventionhc.com or call customer support for the health plan for which you provide services:

ArchCare:  866-386-4447

Troy Medicare:  888-494-8769


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