Create a prism account to submit authorizations, review claims and appeals, submit provider enrollments and more. It’s an easier way to work with us.
Create a prism account to submit authorizations, review claims and appeals, submit provider enrollments and more. It’s an easier way to work with us.
To keep your provider data and our member data secure, Priority Health uses ID.me to verify you are who you say you are. All users must be verified through ID.me to register for a prism account.
Note: Google Chrome is the recommended browser for prism.
Having issues getting verified?
Note: prism applications may take up to five business days for approval. Any provider groups or facilities you requested access to are a separate approval from your prism account application. Please allow an additional two days for this review. You’ll receive a separate email once your access is approved by the provider group.
In order to access a provider group or facility’s data such as claims, authorizations and enrollments, you’ll need to add them to your prism profile.
Note: all provider affiliations must be approved by the prism Security Administrator (pSA) before they appear in your prism account.
Your application for access will be sent automatically to the prism security administrator. Please allow up to five business days for this review. You’ll receive an email when approved. If access hasn’t been granted, you can follow up with the pSA by going to your profile, and selecting Follow up with pSA in your list of affiliations.
Your dashboard, including claims, enrollments and appeals will now be changed to the group you selected. You may change this view at any time.
Once the claim detail appears, you can take further action by selecting Contact us about this claim.
For more detail about submitting claims and billing, visit Billing & payment.
From the appeal detail page, you can view an appeal status, appeals decision, upload requested files, or add new comments in response to inquiries from our provider team. This information can be viewed and used by anyone linked to your provider group.
From this page, you can submit a new pre-claim appeal, otherwise known as a pre-service appeal, or a post-claim appeal.
For more information and help, visit Review & appeals in the Provider Manual.
For detailed instructions on how to enroll and credential through prism, visit the Provider Manual.
Need to get in touch with us? Send a request by choosing a category, and your inquiry will be sent to the right team.
To view comments and status on all your inquiries:
To ensure your provider data and your patients’ data are as secure as possible, we’ve implemented additional security for prism accounts by creating a prism Security Administrator (pSA) role.
All provider affiliations must be approved by the prism pSA before they appear in your prism account.
Lost prism access due to a cyberattack or some other technology outage? Refer to our guide to working with us offline.
In your prism Notification Center, you'll find messages directly from Priority Health. These messages could include anything from authorization updates to important news and information about scheduled prism maintenance, etc. You may also get messages specific to your role and specialty type, depending on what you selected in your prism profile.
Go to the Notification Center by using the Notifications drop-down at the top of the page when you log in to prism.
You can look back at messages in your Notification Center at any time. You can also delete them if you choose, but keep in mind that once you delete them they’ll be gone forever. However, you can still find most past Notification Center content on our news site if needed.