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:
- Share needed clinical information up front.
- Begin concurrent reviews after emergent inpatient admission notifications.
- See the Available Units* for home care and hospice services.
- Receive faster responses to your requests when you use the Submit Request button on the new screen.
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.
- Arrange for post-acute care services such as admissions to skilled nursing facilities (SNF), inpatient rehabilitation, and long-term acute care facilities, or to request home health care.
- Use Concurrent Review Status Reports for hospitals and SNFs to identify who is ready for discharge.
- 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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