Online tools available to providers
Providers must log in to their online account at this website to use these tools. The exception is
Find a Doctor; however, when you are logged in, the Find a Doctor online directory tool offers you the ability to search for providers by choosing "All plans/networks" instead of choosing a single health plan/network.
Go to Find a Doctor use tips
Watch our tool demonstration videos
We're creating short videos explaining what each online tool does and how to use it. To watch a video:
- Click the play button to open each demo.
- Use the bottom scroll bar to fast forward the video or to go back.
- Use the pause/play button to pause the video.
| Tool | Accessible To | Function |
|---|
| Member Inquiry |
- Primary care providers
- Specialists
- Hospitals
|
Review copays, deductibles, contract history, and contact information.  Watch the Member Inquiry tool demo (3 min.)
|
| Claims |
|
Claim Status and Pended Claims reports. Obtain Remittance Advice using claim search options. Claims shown are unique to the provider.
Watch the Claims Inquiry tool demo (3 min. 30 sec.) |
Authorization Inquiry
|
- Primary care providers
- Specialists
- Hospitals
|
Inquire about the status of pending authorizations.
Watch the Authorization Inquiry tool demo (2 min.)
|
Patient Profile
|
- Primary care providers
- Limited specialist access
- Hospitals
|
Search for information by patient or by health condition. Manage the preventive health and chronic conditions of your patients.
Watch the Patient Profile tool demo (4 min. 38 sec.) |
Rx Inquiry
|
- Primary care providers
- Limited specialist access
|
View patient prescription utilization from multiple physicians and pharmacies.
Identify alternative drugs and clinical alerts. |
Filemart
|
- Primary care providers
- Specialists
- Hospitals
|
Download Remittance Advices and other files that you might otherwise receive on diskette, paper, or other manual methods.
Watch the Filemart demo (2 min.)
|
