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Friday Health Plans has grown incredibly quickly, which is a testament to the strength of our mission of delivering affordability, simplicity and outstanding customer service. Unfortunately, Friday has been unable to scale our financial infrastructure to match the pace of our growth and secure the additional capital required to run our business. As a result, in collaboration with the Colorado Division of Insurance, we agree with the decision that it is necessary to wind down our Colorado business operations over time. While we are deeply disappointed, we believe this action is in the best interest of our members.
In agreement with the Colorado Division of Insurance, Friday Health Plans of CO policies will remain in effect through the remainder of the 2023 plan year, December 31, 2023, so long as members continue to pay their required premiums.
You should continue to treat Friday members through December 31 in accordance with your contract. Friday will continue to handle provider calls and process runout claims for some period of time, but we encourage you to submit claims timely. Should you have any questions or concerns please feel free to contact your Provider Relations and Contracting team via email at CO-providers@fridayhealthplans.com or via phone at 844.465.5500.
The Federal IDR process is available only for certain services, such as out-of-network emergency services, certain services provided by out-of-network providers at an in-network facility, or out-of-network air ambulance services. The Federal IDR process is also only available if a state All-Payer Model Agreement or specified state law does not apply; otherwise, the state Agreement or law applies. To view information about the Federal IDR process, please review this document.
The Friday Health Plans portal is your one-stop shop where you can:
Sign up for the Friday Health Plans Provider Portal and submit your provider information for approved access.
Payer ID: H0657
Mailing/Claims Address: Friday Health Plans, PO Box 21594, Eagan, MN 55121 (If you send a claim to the Sidney, NE PO Box, it will be forwarded).
Provider Service: 800-475-8466
Colorado Provider Support Email: CO-Providers@fridayhealthplans.com
Referrals and Prior Auth: 888-500-1513 (fax), or email CO-medical@fridayhealthplans.com
Pharmacy-Prior Auth: Call 844-922-7796 for questions. Submit forms to 833-434-0563 (fax)
Contract Questions: CO-Providers@fridayhealthplans.com
Credential Contact for Current Providers: providers@fridayhealthplans.com
Open Negotiation Requests: IDR@fridayhealthplans.com
Interested in joining the Friday Health Plans network?
You can inquire about being on the Friday Health Plans network by emailing us at CO-Providers@fridayhealthplans.com.
COLORADO UPDATES
Effective July 1, 2022, Friday Health Plans will no longer operate as a Managed Care Organization (MCO) in Colorado for the Child Health Plan Plus (CHP+) program. As a result, providers who do not have an active contract with another CHP+ MCO will not be eligible for reimbursement for services delivered to CHP+ members after June 30, 2022. View detailed information here.
As of 1/1/2022, Friday Health Plans will no longer be a part of the Medicare Cost network in Colorado. All impacted members will receive notice in October 2021. All providers that were previously part of this network through Friday Health Plans will not need to take any action. Medicare lines of business will no longer be active under the Agreement in place since Friday Health Plans will no longer have a Medicare Cost membership. If you have any questions, please reach out to your Colorado Contracting and Provider Relations team at co-providers@fridayhealthplans.com.