Providers

Find everything you need in one place so that you can spend more time helping patients.

Provider Portal

The Reliance Provider Portal helps you reduce administrative costs and manual, paper-intensive tasks. Use the portal to find:

  • Announcements and messages
  • Contracted labs
  • Authorization submissions, updates and tracking
  • Referral highlights
  • Hospital census data
  • Activity log details
  • Payment status
  • And more!

Plus, see below for additional forms and information you may need.

Additional Forms and Information

View our 2021 Provider Manual to go in-depth on how we’ll work together

View our Provider Quick Reference Guide to get key contacts and other essential information

Provider Directory and Formulary

Find a Provider 2020 SEARCH
Find a Provider 2021 – SEARCH
Find a Network Pharmacy 2020 SEARCH
Find a Network Pharmacy 2021 – SEARCH
Check the comprehensive 2020 Formulary SEARCH
Check the comprehensive 2021 Formulary – SEARCH

Contract Provider Appeal Rights

  • Providers may appeal decision on denied claims such as denial of a service related to medical necessity and appropriateness.

Fraud and Abuse

If you suspect fraud, waste, or abuse, contact us at 1-833-610-0005

Fraud, Waste, Abuse and Compliance Training

Reliance Medicare Advantage requires annual training to detect, prevent, and correct fraud, waste and abuse. All providers and their employees, contractors, governing bodies and downstream entities who partner with Medicare Advantage and Part D prescription drug plans are required to take the training.

Records of the training, including participant names, must be retained and available for inspection upon request for 10 years after the end date of the provider’s contract with Reliance Medicare Advantage.

Providers may use the CMS training modules available on the Medicare Learning Network (MLN), or providers may use their own training programs with similar content.

To complete the training using MLN, follow these steps:

  1. Select Medicare Learning Network® (MLN) Learning Management System
  2. Log in or create an account
  3. Complete these training modules:
    1. Medicare Parts C and D general compliance training
    2. Combating Medicare Parts C and D Fraud, Waste and Abuse
  4. Save a certificate for each module

Providers who use their own training programs can incorporate the content from the Medicare Parts C and D, fraud, waste and abuse training (PDF) and the Medicare Parts C and D general compliance training (PDF) modules into their training materials. Regardless of the option you choose, certificates of completion must be kept on file for 10 years.

www.lighthouse-services.com/reliancehmo – 833-610-0005

Interested in becoming a provider with Reliance?

Reliance Medicare Advantage is a physician-owned organization located in Southeast Michigan. We’ve joined together because we know the struggles our patients face with insurance and we decided to do something about it. Our member physicians participate in one or more of our affiliated organizations. Through our organization, our members are able to participate in government-sponsored programs and in local and national managed care plans. We are accepted by some of the largest health systems around, including Ascension, Henry Ford Health System, McLaren, Trinity, DMC, Prime, and Mercy Health - St. Vincent, and we’re proud to help promote quality and efficiency in healthcare.

Send us an email with your name and contact information and we will be in touch. Email Us

Do you have questions about forms or the portal?
Or would you like information about becoming a Reliance Provider?

Call us at 248-715-5400

Monday through Friday, 8 a.m. to 5 p.m.

Doctor-Built, Patient-Focused.