Use the links below to find helpful documents, forms and other resources.

If you can’t find what you’re looking for, or have any questions or concerns, please contact our Provider Relations Team.

Provider Relations:
Phone: 315-477-9280
Email: providerrelations@477home.org

Claims Processing

Claims Processing

Paper Claims:
 Nascentia Health Plus
 P.O. Box 981814
 El Paso, TX 79998-1814

Electronic Submission:
 Payor ID 45529

Claims Customer Service:
 315-477-9509

Electronic Remittance Advice (835) and EFT Authorization Agreement

Electronic Remittance Advice (835) and EFT Authorization Agreement

Download the Electronic Remittance Advice (835) and EFT Authorization Agreement (pdf). Please complete all applicable sections.

Submit a copy of your W-9 with this completed form to us:

  • through secure encryption to claims@477home.org
  • or mail the completed form to:
     Nascentia Health
     Attn: Claims Manager
     1050 West Genesee St
     Syracuse, NY 13204
Exception Request Form

Exception Request Form

Download the Exception Request Form

Medicare Advantage Waiver of Liability Statement

Medicare Advantage Waiver of Liability Statement

Download the Medicare Advantage Waiver of Liability Statement (pdf)

Model of Care Training

Model of Care Training

Nascentia Health Plus Model of Care (MOC) provides the basic framework under which our plan meets the needs of our enrollees. The MOC is a key quality improvement tool and essential element in ensuring that the unique needs of each of our enrollees are identified and addressed through our care management practices.

Complete Model of Care Training

Nascentia Health Plus Overview

Nascentia Health Plus Overview

The mission of Nascentia Health is to be the premier home and community-based care system for the regions we serve. As such, we hold ourselves to the highest standard of excellence as a healthcare leader and promise to deliver exceptional care. At the heart of Nascentia are the people who define our healthcare system and who make positive results possible. We take pride in our work and in helping the people we serve.

To learn more about Nascentia Health Plus, download the Nascentia Health Plus Overview (pdf).

Prior Authorizations

Prior Authorizations

Prior authorization is not required for emergency or urgent care.

To request prior authorization, please submit your request via fax or phone:

  • Referrals and Authorization Department at 1-888-477-4663
  • Outpatient Authorizations Fax: 1-315-870-7788
  • Inpatient Admissions Fax: 1-315-870-7788

A Prior Authorization is not a guarantee of payment; Payment is subject to member eligibility and benefits at the time of service.

The Medical Management Department will notify you of their decision by secure email, mail or phone.

Provider Manual

Provider Manual

This Provider Manual serves as a supplement to the Nascentia Health Provider Services Agreement concerning the management and care of Nascentia Health Plus members. The information contained within this manual is a reference tool that contains eligibility, benefits, policies, procedures and contact information for services provided and administered through Nascentia Health Plus.

Download the Nascentia Health Plus Provider Manual (pdf)

Provider Portal

Provider Portal

Visit the Nascentia Health Provider Portal

Summary of Plan Benefits

Summary of Plan Benefits

Last Updated on July 28, 2021