Phcs insurance provider portal Beech Street Providers. Your patient will provide you an ID card for their short term medical plan. Select Network. Go to the CLAIMS tab and enter the requested information to pull up the claim in the Access our Quartz healthcare provider portal for claims submissions, prior authorization forms, patient resources, and more. Welcome to the Provider Portal, a unique online tool for accessing benefit, eligibility and claims data. Our self-service provider portal gives you access to a wide range of provider resources, allowing you to check eligibility, see benefits and enrollment status, check the status on a claim and more. State of California Helping providers offer the best care to our members is our priority. com – choose PHCS Practitioner Only network. From the Provider Portal Log In screen, click the link that is labeled Click here to self-register. MultiPlan Portal provides access to fee schedules, relative value units, conversion factors and more for healthcare providers. multiplan. 2. PHCS Health Insurance. AMN/HMN/RAN Network – Claritev’s regional commercial PPO networks in Arizona and Hawaii . Please note, we work hard to ensure our data is accurate, but provider information changes frequently. , and Sentara Behavioral Health Services, Inc. Since these providers may collect personal data like your IP address we allow you to block them here. America's Choice Healthplans® - An E-commerce enabled TPA providing medical, dental, Rx, vision, life, flex, and disability solutions to multi-site, multi-state employers coast to coast with national provider networks. Custom-built Plans APA designs a healthcare plan tailored to the uniqueness of your organization, evaluating and understanding your organization’s structure to identify the best provider portal. To begin your search, follow these four steps. You will receive an email back from BAS with your login. Provider Networks. O. com and click on “Find a Provider. UM Jiva Provider Portal Info – Forms, Instructions and Videos; Alliance Claim System (ACS) Provider Network Assignments; For Prescribers. If you have previously had a claim paid out by Gravie before, you can check the status of a claim by logging in to the Gravie Provider Portal. Please contact your health plan to verify your benefits. SBMA Benefits offers a Provider Portal to view member eligibility and patient claims information securely and easily. Our […] PHCS is America’s No. If you are interested in becoming a contracted provider with Imperial Health Plan, please contact our Provider Services Department at 1-800-830-3901. You can also contact MultiPlan-PHCS or First Health for provider support and resources. Call our provider unit today at 877. Nuclear cardiology P. com or Call: 888-293-9229 Healthcare Providers can download a password application by clicking HERE All Commercial HMO products are underwritten by Memorial Hermann Commercial Health Plan, Inc. Imperial Health Plan is always welcoming new providers to its network, including: HealthSmart Provider Portal Help Desk: 1-800-638-0968 For claim searches, eligibility information, copy of participant ID card, and other benefit information. UHP eliminates the wasted cost, and delivers benefits your employees actually care about. PHCS Travel/Out-of-Area. If you do not receive an email within 24 hours, please check your spam or junk mail. Your membership includes access to more than 1. You can easily: Verify member eligibility status; View member benefit and coverage information; Retrieve member plan documents; View the status of your claims; View member ID card Fringe Benefit Group is updating our Online Claims platform for both Providers and Members. Medi-Share: Processes the bill(s) to determine eligibility for sharing based on the member guidelines ACI Provider Login. Payers can obtain the Network allowed amounts for a terminated provider’s claim from our portal . Thank you for visiting HPI! You are now being guided to a third-party site. Please call 888-920-7526 to verify. PHCS Practitioner & Ancillary Only Network (Note: you may also have access to the MultiPlan Practitioner & Ancillary Only Network. or. We continuously invest in the growth of our team members and train the next generation of top-tier providers, nurses and clinicians, shaping a brighter, more compassionate future for healthcare. Member receive in-network level of benefits when they see PHCS Healthy Direction Providers. After the first two (2) months of membership, an annual preventative wellness visit and related lab work for which there are no medical symptoms or diagnosis in advance are eligible for sharing, up to a maximum of $400 of the Fair and Reasonable charges as Sentara Health Plans is the trade name for Sentara Health Plans, Sentara Health Insurance Company, Sentara Health Administration, Inc. We work hard to ensure our data is accurate, but provider information changes frequently. Medi-Share for Providers Medi-Share’s NEW Provider Portal is now live and offered through Availity to enhance the provider experience. What can I do with CompleteWebAccess™ Version 17. 4 Portal Overview Welcome to the PHCS Savility Portal, a self-service website for participating providers brought to you by MultiPlan and our partner, InstaMed. Please note that all Providers will need a registration code, which will be emailed securely to Providers that have existing accounts. Health Maintenance Organization (HMO) products, and Point-of-Service (POS) products are issued and underwritten by Sentara Health Plans. If you are a human seeing Healthcare providers can submit claims directly through the Emdeon clearinghouse and leverage Allied’s electronic claims processing software to reduce claim payment turnaround time. Legal Notice : All products are underwritten and issued by Freedom Life Insurance Company of America, National Foundation Life Insurance Company and Enterprise Life Insurance Company, wholly owned subsidiaries of USHEALTH Group, Inc. See your Member ID card for details. PHP is updating our provider data 3 x weekly and performing an audit every 90 days . Any other type of access constitutes misuse and is subject to legal action. Find out what to do if your provider is not in network and how to submit expenses to netWell. A PHCS logo on your health insurance card tells both you and your provider that a PHCS discount applies. Redirect Health provides members access to over 700,000 providers nationwide through the PHCS network. PROVIDERConnect Portal. Make sure your provider, referred doctor or specialist is part of the Tier 1 network or you may pay more out-of-pocket. ” Before beginning your search, you must acknowledge that you have read the notice at the bottom of the screen. Meridio’s health insurance offering makes finding a provider a breeze with the MultiPlan PHCS network, boasting more than 1. When you login to the Provider Portal, you’ll find the information you need to take care of your patients. 684. You may also complete our online application request form available on this website. . You have 24/7 access to all of the tools needed to answer your questions, whenever it's convenient for you. How self-funding works Optum (behavioral health): 844-451-3520 or 844-451-3518, or visit the Optum Provider Express Portal Specialty Fusion (specialty drugs): 877-519-1908, or use their online prior authorization tool or fax a standard prior authorization form to 855-540-3693 Provider FastTrack Eligibility and Claims Status Inquiry. The provider portal provides 24/7 access to claim status, EOB’s, eligibility, precertification requests, and more. Providers Mail* CMS-1500 claim form to: Our client lists are now available in our online Provider Portal. Customer Service. Average savings by claim type are 42% for practitioner, 28% for inpatient, 24% for outpatient and 46% for ancillary facilities. We also use different external services like Google Webfonts, Google Maps, and external Video providers. Through this secure website, you can: Confirm member eligibility Submit PHCS Savility claims Check on the status of submitted claims Determine the status of payments made or in progress Traditional healthcare insurance charges you for what happens, and what might happen. Provider participation can change without notice. In this context, PHCS forms contracts with doctors, hospitals, and other healthcare providers, who then agree to provide their services at reduced rates for patients covered by PHCS health insurance. Need to connect with our Customer Service team? Email Us: aciclaims@acitpa. We encourage all providers to attempt to utilize the automated resources (portal & IVR). Beech Street Network – Claritev’s regional PPO network in Alaska, Nevada and Utah. Find a Provider in Four Easy Steps To find providers participating in MultiPlan’s networks, visit multiplan. ) The technical storage or access that is used exclusively for anonymous statistical purposes. At Homestead, our mission is to create transparent and sustainable health plans, and put the power back in the hands of the employer. This Learn about our HSA & HRA plans, Dental & Vision offerings, Pharmacy solutions, and Care Management Choice - Broad access to nearly 4,400 hospitals, 79,000 ancillaries and more than 700,000 healthcare professionals. In this case, members who are sole proprietors, independent contractors, single business owners or Gig worker create self-funded plans for their own businesses. Welcome, Providers and Staff! You and your administrative staff can quickly and easily access member eligibility and claims status information anytime, on demand. (You can still access PHCS providers through www. All other PHCS networks (Note: Follow the instructions on the page to select the network that appears on your Member 9401 Amberglen Blvd. These are also used for Workers’ Compensation and Auto Insurance programs in these areas. Pharmacy Guidance for Providers; Opioid Misuse Prevention and Treatment Program; For PCPs – Primary Care Providers. Top Links. You may read about the available benefits for a specific patient who has a plan administered by America's Choice. 3) Payer Contracting. Find out how to request preauthorization, submit claims, and access provider support and FAQs. Access to state-of-the-art training facilities, new technologies, mentorship programs, and other resources enable our physicians and APPs to provide Access your Imagine360 health plan benefits, network providers, claims and more through the miBenefits Web Portal. Providers are independent contractors and are not agents of Innovation Health or Aetna. Your Healthfirst Provider Portal account will be deactivated after 90 days of inactivity. Find a plan that fits your needs, always know how much you're paying for healthcare, and join a community of members sharing medical costs with ClearShare. 16th Street, Suite 3400, Philadelphia, PA 19102. All Hybrid products are administered by Memorial Hermann Health Solutions, Inc. The tools on these pages are intended for use by physician office staff only. For questions on how to get your provider’s office streamlined with CAS, please feel free to call (800) 870-1831 or email: [email protected] Request an application to join the PHCS Medicaid Network or the Texas True Choice Network (Texas only). com customerservice@boonchapman. To get started go to the Provider Portal, choose Click here if you do not have an account. S. Company * Title * Email * Phone How can we help? * HTML Phone: 844-307-3788 Address: 50 S. Member eligibility; Claim Status; Secure Email & Live Chat; Patients' Provider Networks; Click here to create a login account for the provider portal today. Links to various non-Health Plans, Inc. So, when you have questions, we’ve got answers! Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. UHSM is a healthcare sharing program that uses the PHCS PPO Network of over 1. 625. Eastern time to speak to a licensed insurance agent. Please be aware that this might heavily reduce the functionality and appearance of our site. By contracting with this network, our members benefit from pre-negotiated rates and payment processes that lead to a much smoother process and overall cost savings. Choose a network. Self Service Provider Portal User Guide — October 2024 8 Step Action Note: Once Provider Portal Log In screen appears, save to favorites for easy access in the future. The directory allows you to find preferred providers like Penn Medicine in the PA/NJ area as well as providers that participate in the PHCS - Practitioner Only program, a Multiplan program. To sign back in, click the OK button and sign back into the Provider Portal. Step 1. 30 Minute Warning When the Provider Portal is idle for 30 minutes, the Page Expired message will appear. Capabilities of the portal include: Eligibility verification. Check member eligibility; Review claim status; Review plan information; Log in to your account Switching to a new health benefits plan can feel like navigating uncharted waters, especially when you've grown accustomed to your current healthcare providers. Search for a doctor, hospital, lab or other healthcare provider or facility using MultiPlan Provider Search. Log in to: View patient's eligibility status and benefit information; Verifiy patient claims; Download forms; Request prior authorizations; And more! Clearwater Provider Portal. to 9 p. 2 million doctors, hospitals, and specialists in this network. NCQA has reviewed and Accredited the PHCS Network’s Credentialing functions only. Simply enter the insured's ID number and the patient's birth date in the boxes left and click "look up benefits," and you will be provided with a summary of this patient's benefits. Update Create your member portal account to easily manage your healthcare benefits. Our provider portals will help keep you up to date on administrative functions related to patient and member care. We take a community-first approach to making healthcare more equitable and accessible for all. All products not available in all states. Today, we utilize world-class technology and AI solutions to power a robust enterprise platform that delivers meaningful insights to drive affordability in healthcare, brings price transparency and optimizes networks and benefit plan design. To add an individual to an existing group, click here to apply via our Provider Portal. Contracted Claritev providers may request updates to their information online via the Provider Portal or by sending changes on the provider’s letterhead to Claritev via email to [email protected], fax to 781-487-8273 or mail to Claritev Registrar, 16 Crosby Drive, Bedford, MA 01730. 1 PPO provider and the largest in the nation. Welcome to Providence Health Plan. Access claims, eligibility, and payment tools below. Many group health plans administered by Allied access a Preferred Provider Organization (PPO) network. The secure provider portal offers tools to make it easy to do business with us and help manage our members' health care needs. If you have not yet filed a claim, or if your claim is still pending, please call Gravie at 877. Such information may be made available through enrollment forms, medical claims, medical reports, coverage history and other sources e and forms necessary to effectuate claim administration Thank you for your interest in joining Claritev’s provider networks (PHCS Medicaid Network or Texas True Choice Network) serving Medicaid and related government-funded programs. There are no preferred providers or networks required. Starting Monday, February 27th, you will need to re-register on the new system to gain access to claims history and EOBs. Locating a participating provider in the PHCS network begins with the specific network logo on the front of your medical ID card. To find providers in your PPO network, simply click on the applicable link below. To determine which health care providers are in-network for your health plan, check your plan documents and search our online provider directory. Use the member portal to: › Find an in-network doctor or hospital › View benefits/coverage information › View claims details › Order and download ID cards › Ask us a question Our next-generation approach to reference-based pricing (RBP) is paired with the PHCS network including practitioners and select ancillary services providers such as labs, home health and clinics. All Rights Reserved CPT © 2024 American Medical Association. 3984 to verify information on your patient’s eligibility and/or claim. Many of our Allied members have a plan that allows them to see any provider they choose without restrictions or penalties. Providers may call us for more information. As an acute care facility such as a hospital As an ancillary facility such as a lab, rehab or hospice Provider Partners; AscellaHealth Drug Program; Intro to Self-funding; Intro to RBP; Imagine360 Administrators 1550 Liberty Ridge Drive Wayne, PA 19087 800-827-7223 (tel) Provider Portal. com is a non-government website operated by eHealthInsurance Services, Inc. References to “GAG clauses” have been removed from all agreements on 1/1/2022 Liberty HealthShare encourages our members to see their Primary Care Physician or Provider yearly to maintain their health and well-being. Mailing Address P. com P. Please note that WeShare® by UHSM has a standard turnaround time of five (7) business days on all prior authorization requests. Savings - Negotiated discounts that result in significant cost savings when you visit in-network providers, helping to maximize your benefits. Access to the Gravie Provider Portal is limited to providers who have previously received a paid claim from Gravie. HPI is undergoing a core system enhancement to upgrade our eligibility portal from WEBeci to MESA. Call 855-413-5897 (TTY users 711) Monday – Friday: 8 a. You can easily: Sep 13, 2023 · A PPO is a type of health insurance arrangement where the insurance company has contracts with a network of “preferred” providers. You can easily: Verify member eligibility status; View member benefit and coverage information; Retrieve member plan documents; View the status of your claims; View member ID card › Get Registered - Referral Portal Access Patient Benefits Enter the patient's information below to view your patient's Summary of Benefits, search their provider network, get connected to their Rx benefit information and print a temporary ID card. With PHCS, the WeShare family enjoys access to more than 1,200,000 doctors and hospitals, representing 95 percent of U. You must apply for Continuity of Care within 30 days of your health care provider’s termination date (this is the date your provider is leaving the network) using the request form below. Box 151137 ATTN: Freedom Health Tampa, FL 33684 Whether it’s a request for plan performance analytics, a member seeking guidance on a healthcare bill, or a provider requiring eligibility data, APA has it covered. Making Health Insurance Easy for You and Your Patients Please contact us if you would like to learn more about Vitori Health. This site does not guarantee benefits coverage and requires verification before receiving care. Provider Secure Login New Era Provider Portal. If you are a covered member, you can log into your member portal for a more personalized experience. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you. Learn how to register, log in, and use the portal features with online training sessions for provider groups. On the Medi-Share provider page you can register as a new provider, check member eligibility, check bill status, and add/edit physician or facility info. You should contact the provider to verify new patient status, location and, if applicable, network participation. As an acute care facility such as a hospital As an ancillary facility such as a lab, rehab or hospice A Captive insurance company is a privately owned insurance company whose owners come together to pool risk and form their own licensed insurance company. Please locate the PHCS logo on your card and follow the corresponding instructions on this page. If Unable to Submit Electronically. My Quartz Tools is your provider portal. Your Allied ID card will also show your That’s why we’ve partnered with the PHCS® PPO Network, the largest and strongest provider network in the United States. Learn more about WebTPA. Most medical offices do not have the time to wait for a representative to get claim status and eligibility information. Also, finding a provider on this site is not a guarantee of benefits coverage. Providers submitting healthcare claims electronically, please use the payor ID found on the back of the member ID card. This tool lets you create a customized directory of providers participating in MultiPlan’s network(s). If you would like to verify insurance benefits, contact the benefit verification line: 866-323-2985. 2) Provider data accuracy on 1/1/2022. A user guide is also available within the portal. Before you receive care, you should contact: The provider to verify new patient status, location, network participation, and services currently being offered. About Us. Through our web portal, providers can access claim status, patient eligibility, secure email, and other important resources for patient care 24/7. We implement and manage these services, simplifying contracting and administration for employers. m. From our headquarters in Austin, Texas, we provide a turnkey solution for employers across the country, serving more than 250,000 members. Member satisfaction with ConnectiCare is very important. IMS may disclose to employers, plan administrators, health care providers, other group health plans, insurers, service providers and/or business associates. (HPI) sites are provided for your convenience only. Provider Portal Delivers Instant Access SISCO's provider portal allows you to submit claims, check status, see benefits breakdowns, and get support, anytime. ‍ Welcome, Providers and Staff! At Diversified Group, we strive to stay ahead of the competition with innovative web-based capabilities in order to preserve and enhance the doctor-patient relationship. For more than 20 years, The American Worker has specialized in providing insurance for hourly employee groups. providers. Access your member ID card or find in-network care with just a few clicks. Click Continue to proceed or Cancel to exit. Provider Portals. eHealthMedicare. Our online portal can be used by providers to access information. You can easily: Provider submissions Opens in a new window About Us HealthScope Benefits is a third-party administrator (TPA), hired by your employer, to help ensure that your claims are paid correctly so that your health care costs can be kept to a minimum and you can focus on well-being. ) PHCS VDHP. The below application request link applies to participation in our Medicaid networks only. The provider must agree to accept network rates for the defined period of time. By accessing this site, you represent that you are an authorized user, and that your use of this website and any information contained on this website will be in compliance with all applicable laws and regulations. com The PHCS Network is available in a variety of configurations including outside the plan service area, to extend local HMO or PPO coverage nationally. To remain signed in, click the OK button. Claritev’s objective, data-driven approach enables provider claims to be processed quickly and fairly and helps avoid p Most health plans are open network. Already have an account? Online Portal (Commercial health plans only) Use our secure online provider portal to: • Submit, track and manage customer service cases • Access forms and other resources, including our client list • Get instant access to claims information • Manage your directory information • Request to add providers to existing groups May 4, 2023 · The PHCS Network includes more than one million health care providers nationwide: 920,000 practitioners, 4,800 acute care hospitals and 87,000 ancillary facilities. 4 million registered providers and facilities nationwide. We would like to show you a description here but the site won’t allow us. PHCS Health Insurance is Private HealthCare Systems, and was recently acquired by MultiPlan. As a licensed medical provider, APA makes it easy for you to access the information you need regarding your patients’ healthcare plans. You can easily: Providers submit bills directly to Medi-Share electronically through the provider portal, or their own clearinghouse, using the information on the back of the Member ID card. Representatives are available Monday through Friday, from 8:00 am to 5:00 pm (ET). 0205 Welcome!! © 2025 MultiPlan Inc, All Rights Reserved The page is for signing in to USHEALTH Group's provider portal, but access is currently unavailable. Learn how to access providers within the PHCS/MultiPlan network by visiting netWell website or member portal. Phone: 800-252-9653 | Fax: 512-459-1592. Please press the Continue button to proceed. Our team is trained to assist you in billing and processing effectively and efficiently. You can use our secure web-based Provider FastTrack system for immediate access to member claims and eligibility status including: Access plan documentation; Verify member eligibility status; View member benefit and coverage information; View Explanation of Benefits (EOB) statements *Note: Network options vary based on plan. To pre-notify or to check member or service eligibility, use our provider portal. Claritev delivers solutions directly to insurance companies, medical bill payors, and other healthcare-related companies to help lower the cost of healthcare for all. Realtime eligibility checks are available under Payer ID FH105 via Change Healthcare. PHCS Healthy Directions. sales@boonchapman. For benefits, eligibility, claim payment status, client list, provider handbook or to join our networks refer to our FAQ. Examples of covered medical conditions can be found below. Here's where health care providers can find out about joining our networks, request online accounts, get help without logging in, or log in to their online acccounts. Professional and ancillary services claims are priced via a robust network and their hospital claims via an RBP program, providing the convenience of Providing health care administration solutions for health systems, self-funded employers and insurance carriers. Claims information Verdegard’s end-to-end suite of TPA services include pharmacy benefits, electronic banking, stop-loss insurance, provider networks, home delivery, and member advocacy, among others. Homestead Smart Health Plans was formed by health insurance industry insiders from some of the biggest names in the business to solve the core problem of rising costs and decreasing coverage. WeShare membership includes access to more than 1. To electronically submit or mail a claim on behalf of a Redirect Health member on the Multiplan PHCS Network, please follow the instructions below. MultiPlan Inc. You will enter your name and email address by clicking on Provider Access Request on the next screen by clicking here. Clearwater’s consultative approach makes it easy to find, buy, use, and enjoy high-quality and affordable health plans. Providers will need to create an account and log in to view information. Enter CCode When the Provider Portal is idle for 15 minutes, a message will appear stating You are about to be signed out. Create Portal Login Account Log Into Web Web site created using create-react-app. Your online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. Claritev provides tech-enabled solutions and services fueled by multiple data sources from over 40 years of claims repricing experience. Things to remember before visiting a provider: 1. Self-insured, employer-sponsored health plan Nationwide claims payer Standard member ID cards and claims process No credentialing or cumbersome paperwork No network You will now leave the AvMed web site once you click the "I agree" button. Use of Care Coordination is required for certain pre-planned procedures. All Commercial PPO products are underwritten by Memorial Hermann Health Insurance Company. Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, health plans and providers. You’ll enjoy all the great features. 2 million doctors and hospitals. In order to register as a new provider in the portal, you must have at least one paid claim already on file. Contact Care Coordination for help navigating your care with your provider and to waive your costs: 877-405-2926. Ask questions about your participation status. For a very few plans, we may use the MultiPlan/PHCS Specific Services network. Quality - MultiPlan applies If you have not logged on before, you will need to have your Tax ID. The Beech Street Network was acquired by MultiPlan, the nation's oldest and largest supplier of independent, network-based cost management solutions, and we are working to integrate the Beech Street Network into MultiPlan's networks. Online Portal (Commercial health plans only) Use our secure online provider portal to: • Submit, track and manage customer service cases • Access forms and other resources, including our client list • Get instant access to claims information • Manage your directory information • Request to add providers to existing groups Welcome Providers! We are committed to supporting our healthcare professionals so they can quickly access the member information they need to care for our members. Refer to the Claritev provider handbook for complete details. Contact a Licensed Insurance Agent for additional information. For Providers. Once you log in, you will see the client lists in the lower left of the home page or under Help and Resources. After more than 160 years, we know that when we take care of each other, we tighten the bonds that connect and strengthen us all. Register for our Provider PortalProvider Portal Clearwater is its own search engine, broker, and third party administrator (TPA), offering Major Medical insurance plans and healthshare memberships you can’t find anywhere else. Use the Find a Doctor search tool to locate in-network SmartHealth providers and locations near you. Login Create a Provider Directory. Although not a provider of health insurance, PHCS is a provider of PPO (Preferred Provider Organization) networks. Changes will take effect once you reload the page. Our mission is simple. , a licensed health insurance agency certified to sell Medicare products. The PROVIDERConnect portal hosts a variety of resources to simplify administrative tasks for providers. Box 241869, Apple Valley MN 55124 Quality service and responsiveness from your health plan administrator should be the last concern when you’re managing medical conditions. If your doctor is not a part of the PHCS network, don’t worry! We understand the relationship with your doctor is important, so we ensure that you can maintain that relationship when switching to Redirect Health. For additional information, read the sections below regarding eligibility and benefits, claim status, payment information, and pre-certification information. Reimbursement to providers is reference based on a multiple of Medicare reimbursement levels. Learn more. That’s why our member support team at American Plan Administrators is ready to deliver professional and constructive support to your employees and their families. When calling the provider call unit, please have all patient information readily available for us to assist you as quickly as possible. You will then need to contact Provider Services or your Network Account Manager to restore portal access. For additional information, call (833) 236-3229. Please call 844-926-2262 to reach our Customer Service department. 0 for Providers? For 24x7 eligibility verification click here Real-time access to eligibility and claim information for members For Current Providers – Clinical Tools, Resources, and Guidelines. , Building I, Suite 100, Austin,TX 78729. May 6, 2025 · Telephone Toll Free 1-800-401-2740 TTY/TDD: 711. Important: Use the “Provider Portal Start Page” link below to access your patient’s eligibility information and delete any existing bookmarked URLs. Check the member's medical ID card to confirm their network and PHCS is America’s No. If you require any help with the form, need status of your request, or are unable to determine if a procedure requires pre-authorization please contact us at 888-275-6157. You’ll also find your check payment details, PA requirements, coverage criteria and forms. Inquiry Information Sign in if you already have an account Apr 15, 2025 · Access the portal to verify network participation, submit billing and network inquiries, and more. Please MAIL CLAIMS TO: InsuranceTPA. Welcome to HMA’s provider portal, the starting point for providers to gain access to information about claims as well as additional information. For questions regarding our EDI capabilities, please submit them using the Contact Us form. qfjdoe dutdp wriwjtch rcob mzp kczvti jslv kbtm jrnkqla dtjwrl