Online Tools Available for 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:

1. Click the play button to open each demo in a separate window.
2. Use the right scroll bar in the window to move the video up or down.
3. Use the bottom scroll bar to fast forward the video or to go back.
4. 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	All providers	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 Request	Primary care providers	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. 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.)