To best serve you and your patients, today and in the future, we’re making changes to our online platforms and some processes. These changes, which include a new provider portal, will take effect on August 1 of this year. Account signup will start as early as June.
What are the changes coming August 1?
We’re partnering with Epic to replace our current provider portal, prism, with a new provider portal that will simplify your experience and allow us to work together better.
Changes are coming for many provider role types:
- Medical: Member Inquiry in the new portal will offer a fuller profile of the member’s health care history, with related claims and authorizations integrated into the Member SnapShot, as well as social drivers of health and recent immunization information, when available.
- Billing/coding: You will be able to submit claims directly in the new provider portal, while also being able to do everything else you can do in prism. Additionally, claims can be statused electronically even by providers without an account.
- Patient check-in: While all providers are encouraged to register for an account, those without one will still be able to use the platform to check member eligibility. Having an account will allow you to save an active member list in Member Inquiry while also integrating Member Inquiry with other portal functions, like claim submission, authorizations, disputes and appeals, etc.
- Authorizations: Our prior authorization tool, Guiding Care, will be replaced by Epic's authorization tool, accessed through the new provider portal. (EviCore and TurningPoint are remaining and will be accessible through the portal.)
- Finance: You'll be able to see how your claims processed and why, like you can today in prism. Remittance advices will be available both in the Epic portal and in Optum/ECHO's payment portal.
Note that we’ll have training and education resources for the functions described above and more ahead of the new portal launch.
What should you do before August 1?
We’ll be communicating frequently about these changes throughout 2026, so check your email inbox, prism notifications and our news page regularly. Make sure everyone in your organization is aware of these upcoming changes too.
Account signup will begin in June for Site Administrators (similar to prism Security Administrators) and in July for all users. Stay tuned for details.
What training and resources will be made available?
We’re preparing comprehensive training and support for you. This will include:
- Training webinars coming summer 2026, with training videos available on-demand
- Materials like user guides and FAQs that can be emailed or printed
- Virtual “office hours” post-go-live to answer any questions you may have