FAQs for Providers
Here you’ll find quick answers to the most common questions providers ask who work with us or are interested in joining our network.
Providers can submit a request to join our network through our provider contracting intake form at AntidoteHealth.com/For-Providers.
Call Antidote Health Provider Services at 1-888-509-2688, available Monday-Friday from 8am-5pm ET. You may also email providers@antidotehealth.com for questions about claims, payments, credentialing, or directory updates.
Provider Support can help with:
- Claims status and corrections
- Payment and remittance questions
- Updating provider demographics
- Contract and credentialing updates
- Member eligibility verification assistance
Antidote Health does not have a Provider Portal at this time. You can access all resources for providers, including the 2026 Provider Manual, at AntidoteHealth.com/For-Providers.
Member eligibility can be confirmed via the member’s Antidote Health Member Portal, or by contacting Antidote Health Member Services at 1-888-623-3195, available daily from 8am-8pm ET.
Claims can be submitted electronically through standard clearinghouses or by sending paper claims to the address listed on the members' ID cards.
Please contact Provider Support with the claim number and date of service. Our team will review and reprocess if appropriate.
Some services may require prior authorization. Review our Prior Authorization list available on our website.
Provider Support can assist with verifying member details and providing necessary information for claims. You can also encourage members to find their member ID in the Antidote App.
If Antidote Health moves forward with contracting and credentialing, you will need to provide: Active and unrestricted state medical license(s), malpractice insurance certificate, W‑9, CAQH profile (if applicable) and completed provider agreement.
Antidote Health members can find their digital member ID in their Antidote Health app. Antidote Provider Services can also assist with verifying member information and eligibility.
Referral requirements depend on the member’s plan.
Send updated documentation to credentialing@antidotehealth.com as soon as it becomes available. Updated credentials must be on file to maintain active network status.
Yes. Providers undergo recredentialing every three years to maintain compliance and ensure accurate licensing and quality information. For more information about recredentialing, please refer to the Antidote Provider Manual, or email credentialing@antidotehealth.com.
Antidote Health performs ongoing monitoring for Exclusions (Medicare & Medicaid), Sanctions and Disciplinary Actions, and License Expirations. If a required credential lapses or an exclusion, sanction, or other disciplinary action is identified, you may be temporarily marked inactive until updated documentation is received, verified and reviewed.
Yes. Antidote Health contracts with individual providers, medical groups, partner clinics, and facility based providers.
You can email Provider Services at providers@antidotehealth.com with updates such as address changes, hours, NPI updates, or panel status changes.
