Thank you for being an active partner in caring for our members.
Much of what you do by phone or fax can be done faster and more securely by using the provider portal. To streamline your transactions, we have begun enhancing our provider portal to allow you to:
- Receive faster responses to your preauthorization requests. In some cases, approvals will be issued at the end of the transaction when you use the Submit Request button on the new screen.
- See Available Units* right above Requested Units in the preauthorization request.
- Enter attestations for home health aide and social worker services as part of the preauthorization request.
Here are some other key features and improvements you may not have seen. On the portal, you can:
- Attach files up to 25 MB in size to your preauthorization requests.
- Use Home Health Care Status Reports to see how many visits are approved for each of your patients in one convenient place.
- See if payment was made on a claim, when and how payment was made, obtain copies of Explanations of Payments, and even create your own claims reports in Excel.
- Find a member’s Care Plan if they are in a Care/Case Management program.
*Available Units represent the total number of home care visits the member’s benefits cover in the current plan year, less the number of home visits previously approved. If the prior request(s) is still pending, the units will show as being available.
Available = Visits Under Covered Benefit – Visits Authorized
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