Provider Orientation

Welcome to the Neighborhood Provider Network!

As a Neighborhood Health Plan of Rhode Island (Neighborhood) network provider, the following is provided as an introduction to Neighborhood and offers guidance and resources.

Neighborhood’s Provider Relations team will reach out to all newly contracted providers for a personal orientation to Neighborhood.  The orientation gives new providers an opportunity to learn more about Neighborhood and how to do business with us.  You can also review the information at the following links for an overview of important functions, expectations, and other provider resources:

  • Quick Reference Guide for providers with frequently asked questions categorized by business area.
  • 2024 Neighborhood Offerings guide for information on all Neighborhood plans and products.
  • Provider Appeal Process and Timelines reference table for the various levels of appeal and submission timeframes by Neighborhood line of business.
  • Neighborhood’s Provider Manual for working with Neighborhood and supplements your participating provider agreement (contract) with Neighborhood. It includes specific information including, but not limited to: member services, benefits and eligibility; billing and reimbursement; clinical quality and credentialing; provider information and standards for access and availability; and plan-specific information.

Your Provider Relations Representative will also review the following action items during your orientation:

  1. Mandatory provider training must be completed within sixty (60) of joining Neighborhood’s network.
  2. Email registration to ensure you receive the most up-to-date news and information on matters such as new initiatives, policy changes, and more.

Thank you for joining the robust network of dedicated professionals committed to delivering quality healthcare to Neighborhood members.  If you have any questions or concerns, Neighborhood’s Provider Services department is your first point of contact.  Provider Services Representatives are available Monday through Friday, 8 a.m. to 6 p.m. by calling 1-800-963-1001.