Providers must log in to their online account at this website to use these tools.
The Claims and Filemart tools are available to all providers; other tools are limited to participating providers.
| Tool |
Accessible To |
Function |
| Member Inquiry |
- Primary care providers
- Specialists
- Hospitals
|
Review copays, deductibles, contract history, and contact information. |
| Claims |
|
Claim Status and Pended Claims reports. Obtain Remittance Advice using claim search options. Claims shown are unique to the provider. |
Authorization Request
|
|
Request authorization for services not requiring back-up documentation.
|
Authorization Inquiry
|
- Primary care providers
- Specialists
- Hospitals
|
Inquire about the status of pending authorizations.
|
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. |
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.
|
Last modified
05/13/08
