We’re launching a new Provider Portal to replace prism on September 1. Mark your calendars for June 15, when Site Administrators (current prism Security Administrators) are scheduled to begin creating sites for each practice, hospital or provider group with a distinct Type 2 NPI. Account creation for all remaining users is scheduled to begin on August 3.
Wasn’t this coming in August?
Yes, we had previously announced that the new portal would be coming on August 1. We pushed the date back to ensure operational readiness and to give you a longer window of time to register for an account before launch.
What are the changes coming September 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. We’re also replacing GuidingCare with a new authorization process* embedded directly in the Provider Portal.
See our Provider Portal information page for more information about the changes coming on September 1.
*There is no change to the process for authorization requests that run through TurningPoint and EviCore. Medical and pharmacy drug authorizations will continue to be managed by the Priority Health Pharmacy Department.
What should you do before September 1?
The most important thing we need you to do before September 1 depends on your role:
- Current prism Security Administrators (pSAs): Submit a New Site request for your practice, hospital or provider group as soon as possible after we open that process beginning June 15. You will become that site’s Site Administrator.
- All other providers and provider support staff: Register for an account beginning August 3 as soon as your Site Administrator notifies you that a site has been created for your practice, hospital or provider group.
The earlier you complete the steps above, the less likely that there will be any delay of access on September 1 and beyond. Details on this process, including registration links, will be shared as soon as they’re available.
What training is being offered?
The second most important thing you can do before September 1 is sign up for training webinars. Here are the sessions we currently have open for registration:
- Site creation for Site Administrators: Monday, June 8 at noon
- Account creation for all users: Thursday, July 27 at noon
- Using the new Provider Portal – clinicians: Monday, August 17 at noon
- Using the new Provider Portal – authorization coordinators: Tuesday, August 18 at noon
- Using the new Provider Portal – front desk staff: Wednesday, August 19 at noon
- Using the new Provider Portal – billers: Thursday, August 20 at noon
There will be additional sessions in each category scheduled soon. And don’t worry: we’ll make recordings of the trainings available for you to watch if you can’t make it to one of the live sessions.
How will updates be shared about the new Provider Portal?
You’ll see notices and reminders about the new portal in all our communication channels. Check your prism notifications and our news page regularly. You’ll even see banners on our website and in prism.
In your email inbox, look for emails from us with subject lines beginning with “PROVIDER PORTAL UPDATE.” These emails will have a special header to set them apart from the rest of the emails you receive from us. Current pSAs especially will receive a number of emails from us during the transition.
Make sure everyone in your organization is aware of these communications and all upcoming changes.
Will there be any additional impacts as part of this change?
As long as you create an account as soon as we open up registration, your portal access should not be interrupted. However, it’s possible that even if you request a Provider Portal account and complete identity verification, you may need to wait a short time for us to grant you access. Hang tight: you’ll be in soon. In the meantime, you can continue submitting claims electronically.
Regardless of access, open/active inquiries, claims, authorization requests, disputes/appeals and credentialing applications submitted on or before August 31 will not be viewable in the portal until they are resolved. Rest assured, we’re working on these open items, even though you won’t be able to track them as usual in prism or the new Provider Portal. Please do not call to check on these open items unless they are past due.
We’re also aligning our systems to industry standards, and this may have impacts on claims payments. One example of these configuration adjustments is that we’ll be rounding reimbursement amounts to the third decimal rather than the second decimal. We’ll share other system configuration changes as we know about them.