Welcome New Providers
Welcome to our network. This page will give you the tools you need to successfully serve patients enrolled in our health plans. We look forward to a long and successful collaboration with you and thank you in advance for your cooperation. Together we will provide our members with the excellent quality of care they have come to expect.
New Provider Checklist
Follow these steps to get fully integrated into our network:
- View or download our new provider orientation
- Complete Provider Model of Care Training
- Register for our Provider Portal
- Sign up for electronic payments
- Read our Quick Reference Guide
New Provider Orientation (Medicare)
The easiest way to familiarize yourself with VNS Health Medicare & MLTC plans, the Provider Orientation Training presentations contain an introductory overview of all our health plans. You’ll find a brief overview of benefits, eligibility, and goals for each plan. You can also access documents that will help you with the onboarding process.
Download our Provider Orientation Presentations:
Medicare
New Provider Orientation (MLTC)
Download our Provider Orientation Presentations:
Managed Long Term Care
Complete Provider Model of Care Training
Every year, providers in the VNS Health Medicare network are required to take our Model of Care training.
Register for our Provider Portal
Our Provider Portal is your one-stop-shop for 24/7 access to claims, authorizations, eligibility, and more. Submit documents and exchange information with us securely, whenever it’s convenient for you.

Manage and View Claims

View and Submit Authorizations
Access Patient Rosters

Verify Eligibility

Submit patient records and supporting documents.

Exchange secure messages with us
Electronic Payment for Providers
It’s easy to further expedite your claims payments by signing up for electronic funds transfer (EFT) payments that are direct deposited into your bank account. You don’t have to wait for our checks to arrive in the mail or manually sort, reconcile, and deposit checks.
You will need to complete both of the following two steps to begin receiving EFT payments and remittances:
- To set up EFT payments, fill out the EFT Request Form.
- To receive electronic remittance advice files, enroll with Availity directly.
Quick Reference Guide
We created this guide as a convenient resource for trouble-shooting provider-related concerns.
Bookmark this guide to easily find information on:
- Contact centers
- Claims process
- Online resources
- Ancillary vendors
- And much more
Helpful Links
Provider manual
Your one-stop shop for claims, authorizations, eligibility, document submission, and more.
HHAeXchange
A web-based software solution for scheduling, communication, and billing of Home Health Services.
Provider toolkit
Find here basic information and tools you need to efficiently serve your clients and patients.
Find My Provider Relations Account Manager
Provider Type Serviced: MLTC services (ex. LHCSA, CHHA, MOW, PERS, DME, FI/CDPAS and PCPs)
Emily Hernandez
[email protected]
Coverage Area: All of Nassau & Suffolk and Queens County
Gregory Lara
[email protected]
Coverage Area: Bronx, Westchester & Kings County
Rocio Pena Burgos
[email protected]
Coverage Area: Manhattan, Queens, and Kings County
Shilonda Chandler
[email protected]
Coverage Area: Kings County
Provider Type Serviced: IPA, FQHC and Large Groups
Alex Yim
[email protected]
Maquisha Johnson
[email protected]
Yiming Liang
[email protected]
Provider Type Serviced: Hospital Systems, Ambulatory Surgery Centers, Labs, Hospice, Health Homes
Tavoy Wallace
[email protected]
Provider Type Serviced: Skilled Nursing Facilities
Rebecca Charles
[email protected]
Veronica Gray
[email protected]
Coverage Area:
Capital Region– Albany, Saratoga, Schenectady, Rensselaer
Mid-Hudson– Columbia, Dutchess, Greene, Putnam, Rockland
Christopher Shillinglaw
[email protected]
Coverage Area:
Central NY- Delaware, Fulton, Herkimer, Montgomery, Madison, Oneida, Onondaga, Otsego, Schoharie
Mid-Hudson– Orange, Sullivan, Ulster
Assigned IPA’s and Accounts
All in designated counties
Veronica Round
[email protected]
Coverage Areas:
Western NY– Chautauqua, Erie, Genesee, Monroe, Niagara, Orleans, Wyoming
Provider Type Serviced: Medical providers, Hospital Systems, Ambulatory Surgery Centers, Lab, FQHCs
Elderwood IPA
[email protected]
Elderwood IPA Provider Relations Team
Coverage Area:
Western NY- Chautauqua, Erie, Genesee, Monroe, Niagara, Orleans, Wyoming
Provider Type Serviced: MLTC services (ex. LHCSA, CHHA, MOW, PERS, DME, FI/CDPAS)
Contact us
If you have any questions our Provider Relations Team can be reached via Provider Services at 1-866-783-0222 OR via email as follows:
Downstate (counties Westchester and south):
Upstate (Providers West and North of Westchester county)