Complete Services for Our Healthcare Partners

Thank you for visiting the YourCare website and provider portal. 

If you are looking to request a monthly patient roster, please call our Provider Service Line at 888.638.7149. 

Our provider portal will soon offer self-service functionality. 

Stay tuned for new and updated features!

June 2018 Clinical Review Preauthorization List Available Now

April 2018 Clinical Review Preauthorization List Available Now

A New Section has been added to Wellness/Education Materials.

Learn more about Medicaid Managed Care Health Plans, Adult Behavioral Health, Community Based Services, and Health Home Care Management through a video series developed by the NYS Office of Mental Health (OMH), in partnership with the Office of Alcohol and Substance Abuse Services (OASAS), the NYC Department of Health and Mental Hygiene (DOHMH), and the Center for Practice Innovations.

View more information here.

We welcome you to check out our NEW and IMPROVED provider portal! 

Now, you can easily access physician information, your claims, authorizations, referrals, and much more!

Provider Portal (January 2017)


Clinical Editing Software Portal (Coming Soon 2017)


Complete Services for Our Healthcare Partners

We’re for health. We’re for you.

YourCare Health Plan puts members first, working with our provider partners to make Greater Buffalo and Rochester regions healthier and happier. With patient-centered programs and services to help individuals manage their health, focus on preventive services, manage chronic conditions and assist with selecting the right services, at the right time, in the right setting. Together with community and government organizations, we’ll engage members to take an active role in their health.

Administrative Office Services 

Please log into HealtheNet in order to access, view and verify valuable information such as: 

  • Membership eligibility
  • PCP Assignment

To create a new user log in with HealtheNet click here

Electronic Funds Transfer

YourCare Health Plan has partnered with InstaMed, the leading healthcare payments network, to offer free Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT). ERA/EFT results in faster payment, reduced administrative costs, and increased efficiency.

Get paid faster and reduce costs by eliminating paper checks and remittance advice by receiving ERA/EFT with InstaMed.
    • Get paid faster with claims payments directly deposited into your bank account
    • Automate payment posting to streamline processes
    • Automate reconciliation of payments and remittances
    • Access reporting 24/7 to simplify your workflow

Enroll with InstaMed

Option 1:
    • Enroll online and start receiving benefits immediately

Option 2:
    • Download and complete the Network Funding Agreement
    • Attach a voided check
         • Fax or mail the form to InstaMed
         • Fax: (877) 755-3392
         • Mail: P.O. Box 58790 Philadelphia, PA 19102

This will allow your practice to receive electronic payments for claims submitted to YourCare Health Plan

How We Help You Succeed

The team at YourCare will support and collaborate with you by:

  • Providing prompt answers to your questions
  • Delivering satisfactory resolution of problems or issues
  • Offering proactive health guidance tools
  • Processing claims in a timely manner
  • Working with patients to ensure compliance with treatment regimens and upcoming appointments
  • Helping identify gaps in care
  • Offering high-touch case management programs and coordinating with local Health Homes
  • Providing medical coding expertise that reflects the quality care you provide, and other training and educational programs for disease management that are most often needed by this population

Let’s Work Together.

If you have questions or would like to talk directly with YourCare Health Plan’s provider service team, call 888-638-7149.

*Please note the hours of our Provider Services team are Monday through Thursday, 8:00 a.m. to 5:00 p.m., and Friday 9:00 a.m. to 5:00 p.m.