For medical providers
Working with My Live Health.
We are a licensed insurance agency, not a payer. This page explains what that means for network participation, eligibility verification, and the patients we send your way.
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What an agency can and cannot do.
Knowing where to send a question saves a phone call. Here is the honest division of labor between us and the insurance companies whose plans we sell.
My Live Health helps consumers compare and enroll in health, dental, vision, and supplemental plans. We do not underwrite coverage, we do not adjudicate or pay claims, we do not issue prior authorizations, and we do not credential practitioners or maintain provider networks. Those functions belong to the insurance company that issues the plan.
What we do is upstream of all of it. When a patient is uninsured, aging into Medicare, losing employer coverage, or trying to understand why a plan did not cover something the way they expected, we can help them compare what is available in their county and enroll during the right window, at no cost to them.
Verifying a patient plan
Always verify eligibility and benefits with the payer named on the member ID card, using the provider line or portal printed on that card. The card identifies the insurer, the plan, and the network, which is what determines your contracted rate and the patient cost share. An agency cannot confirm benefits or eligibility on a plan it does not administer.
When a patient asks about coverage
Front desk staff field insurance questions all day, and many of them are really enrollment questions. If a patient is uninsured or asking whether a different plan would cover their care better, you can send them to our insurance FAQs or have them contact a licensed agent. Medicaid and CHIP applications go to the state agency and can be filed any time of year.
Network questions
We do not operate a provider portal. For questions about participation, patient referrals, or working with our agents, send us a message and we will route it to the right person.
Joining a network
How participation usually works.
Requirements vary by insurance company and by state, so treat this as the general shape of the process rather than any one plan rulebook.
01 Contract with the insurer
Network participation starts with the plan
Each insurance company owns its own network. Participation agreements, fee schedules, and network adequacy decisions are made by the insurer, not by an agency, so a network application goes to the plan you want to join.
02 Complete credentialing
Licensure, malpractice, and primary source verification
Insurers verify licensure, education and training, board certification where applicable, malpractice coverage, sanctions history, and site information before adding a practitioner to a directory. Many use a centralized credentialing application, and recredentialing usually repeats on a set cycle.
03 Keep directory data current
Accuracy is a shared obligation
Directory information has to reflect reality: practice address, phone, panel status, and whether you are accepting new patients. Tell each plan when any of that changes so patients searching a directory reach a practice that can actually see them.
Provider inquiries
Have a network or referral question?
Send a message with your practice name, specialty, and county, and we will get back to you. Dental practices have their own page.