Online Provider Center accounts

Online tools make your life a little easier

Priority Health offers you the convenience of online tools to check eligibility, claim status, and much more. Provider Services will be happy to explain the value of the online tools for providers on our website and help you decide which ones will be of most value to you.
Contact Provider Services
Read descriptions and watch brief videos of the online tools here.

Confidentiality requirements

• To protect the confidentiality of member information, each of your staff members using the Provider Center online tools must have a separate account (separate username and password).
• You must notify Priority Health when an employee leaves, so that employee's account can be deactivated.
• Once a year your account will ask you to reaffirm that you will comply with all HIPAA requirements when accessing the information available on this website. If you do not agree, you will not be able to access online patient information.

Requesting an online account

1. Each staff member should complete an application to create an online account, setting up his or her own unique username and password.
   Watch the "Create an account" demo (4 min. 30 sec.) to learn how.
   Complete the online account registration form for providers.
2. The online account request will ask you to choose three security questions and answers to them. These questions/answers are used to verify identity if you forget your password or username and have to call Priority Health for help.
3. You must agree to the confidentiality and terms of use statements in the application.
4. When your account has been approved and activated (see below), you will receive an e-mail letting you know it's available. This usually takes two business days.
5. You must access your account within the next 30 days or we will deactivate your account.
6. Billing services only: We need two things before allowing a billing service access to a provider's online account information:
   
   • Verification that the billing service and the provider(s) for whom the billing service is providing its services have entered into a Business Associate Agreement ("BAA").
   • Confirmation from the provider office(s) that the billing service is to have access to its accounts. With this confirmation, the provider office agrees to notify Priority Health if they no longer have a BAA with the billing service so that the service's account access may be terminated.
   If the provider and billing service refuse to release a copy of the fully executed BAA, or are prohibited from doing so because of a confidentiality provision in the BAA itself, we must receive written confirmation that a fully executed BAA exists and the date it became effective. If only the billing service provides the written confirmation, we will confirm with the provider(s) that a BAA has been fully executed.

Approval process

1. Your online account request goes to a Priority Health Provider eCommerce Administrator who verifies your information, loads the appropriate Provider Group, Facility, or Practitioner ID(s), removes any tools you don't need access to, and activates your account.
2. If your request is approved, Priority Health sends your an e-mail telling you that your account has been activated. Your username and password are not provided in the e-mail.
3. If any information is missing, cannot be verified or is suspicious, your request is denied, and we will send you an e-mail explaining the issues. If you did not provide an e-mail address, all communication is via telephone.

Deactivation due to inactivity

Accounts that have no activity for 30 days trigger an e-mail to the account holder, notifying them that Priority Health will deactivate their account within the next 30 days if there is no activity.