Provider Information

Click the appropriate health plan to obtain specific provider information, download forms, review policies, check eligibility, or for 24-hour access to authorizations and/or claims status.

Our Networks

OrthoNet maintains a number of provider networks in addition to working with health plan provider panels.

Currrent Provider Networks include:

  • OrthoNet Orthopaedic Surgeon Network - NY, NJ, CT
  • OrthoNet Therapy Network - NY, NJ, CT, PA, DE, KY, OH, IL

If you are a provider and wish to obtain network information, email Network Development at OrthoNet-online.com or fax your request to 914-683-8415.

Notice pursuant to Section 3224-b(4) of the New York State Insurance Law is hereby provided that OrthoNet LLC uses the following commercially available claims editing software product: Virtual Examiner, a product of PCG Software, Inc. 23852 Pacific Coast Highway #781, Malibu, CA 90265 Telephone: (877) 789-1291 / Fax: (310) 589-5731 / Email: info@pcgsoftware.com; http://www.pcgsoftware.org/index.htm. OrthoNet has not made any significant edits to the product as delivered by PCG Software.

For information concerning OrthoNet's Clinical Criteria, or additional information related to the Authorization, Processing and Payment of claims in accordance with the New Jersey "Health Claims Authorization, Processing and Payment Act" please click here.