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Priority Health’s new Provider Portal is coming.

Prism will be shut off on September 1. Account registration for the new portal is scheduled to begin in June for Site Administrators and August for all remaining users.

Page last updated on: 5/11/26

Why is Priority Health getting a new provider portal?

We’re working with Epic on a system-wide platform migration to keep our services simple, affordable, equitable and exceptional heading into the future. The new Provider Portal,  powered by Epic, is one piece of this change. 

You’ll still be able to do all the things you can do in prism (and more)—but the way you do them may be different.

Bookmark this page and check it frequently for updates on the transition to the new portal. We’ll also send out updates via email, prism and our PriorityActions newsletter.

What actions do I need to take?

The most important first step is going to be signing up for an account.  Details on this process are still coming, but we’re planning on having Site Administrators (like today’s prism Security Administrators) create sites for all practices, hospitals and provider groups beginning around June 15 and all other users sign up beginning around August 3. Mark these dates on your calendar. The more quickly you take action, the less likely it is that you’ll experience any delays in access (account approval can take weeks, depending on the backlog of requests).

Besides account registration,  stay informed by checking this page for updates and reading your emails from Priority Health. We also invite you to sign up for one or more of our live training webinars this summer (see below).

What’s changing and what’s not changing?

For providers who work with us primarily through prism, you’ll still be able to do everything on the portal you do today, plus more. The way you do it, however, will be different. Click to expand the sections below to learn more about changes for each role. 

  • Like prism Security Administrators (pSAs), Site Administrators control who has access to your group’s provider and patient data. 
  • Each site (any practice, hospital or provider group with a unique Type 2 NPI) is required to have at least one Site Administrator. 
  • Important: Each site must be created by a Site Administrator before other users can see that site’s affiliated data. (That’s why we’re starting Site Administrator site creation in June ahead of general account registration in August.)
  • In the new portal, Site Administrators can see a list of all portal users affiliated to their site, including their login ID, email and last time of login.
  • Site Administrators can change each affiliated user’s password or deactivate their account from their portal, whenever needed.
  • There will still be annual access renewal periods, as there are with pSAs.
  • Each site can have any number of Site Administrators.

  • Guiding Care is being replaced by Epic’s authorization tool.
  • This authorization tool, plus EviCore and TurningPoint will be accessible through the portal.
  • Medical and pharmacy drug authorizations will continue to be managed by the Priority Health Pharmacy Department. You can find submission details on our Drug Information page.
  • Users can complete a benefit check before initiating an authorization request, so they can avoid submitting an authorization request for a service not covered by a member’s benefit plan.
  • Users can see authorization requests by member. 

  • Users can submit claims and view remittance advices directly in the new portal.
  • Users can see claims by member.
  • Claim status can be checked ahead of login (no account needed).
  • Your claim and capitation payments for Priority Health members will be managed by Optum Financial, in partnership with ECHO Health, Inc. 

  • Your portal will automatically save an active member list for you to reference quickly.
  • Member Inquiry is integrated with other portal functions like claims, authorizations and inquiries, so that you can see all associated data when you look up a member.
  • Users can check member eligibility ahead of login (no account needed).

  • The new portal offers a fuller profile of the member’s health history than with prism.
  • Related claims and authorizations are integrated into the Member SnapShot.
  • Social drivers of health and recent immunization information are included, when available.

Improvements

An improved provider experience is a goal for us in the new Provider Portal. Here are a few big wins we’re excited about:

  • Greater integration: Claims, authorizations and inquiries linked to members and easily viewable in Member Inquiry
  • One-stop shop: The ability to submit claims and view remittance advices directly in the portal
  • Time saver: A benefits check before submitting an authorization request so that you don’t waste time requesting authorization for non-covered services. 
  • Simplified security: No Social Security number required when creating an account
  • In a pinch: Verify patient eligibility and check a claim’s status without logging in, as needed
  • Trusted partnership: Ongoing enhancements through Epic, an industry-leading EMR, that is now extending its capabilities into the health plan space

Live training webinars

Webinars will take place from June through September. These will include weekly offerings in July and August on account and site creation. In August and September, we’ll offer weekly trainings on using the Provider Portal by role type. There are multiple offerings for each training. You only need to sign up for one in each category, as the content is repeated each time. 

  • Monday, June 8 at noon
  • Wednesday, June 10 at noon (registration link coming soon)
  • Monday, June 15 at noon (registration link coming soon)
  • Wednesday, June 17 at noon (registration link coming soon)

  • Thursday, July 27 at noon
  • Wednesday, July 29 at noon (registration link coming soon)
  • Thursday, August 3 at noon (registration link coming soon)
  • Thursday, August 5 at noon (registration link coming soon)

  • Monday, August 31 at noon (registration link coming soon)

  • Tuesday, September 1 at noon (registration link coming soon)

  • Wednesday, September 2 at noon (registration link coming soon)

  • Thursday, September 3 at noon (registration link coming soon)

We'll also have post-go-live virtual office hours where you can ask us questions beginning the second week of September. Details and registration links to come.

Resources

We will have a number of additional resources for you, including: 

  • Provider FAQs
  • Account creation walkthrough video
  • Provider Portal user manual
  • Portal Simulator slide deck (interactive by role type)
  • Video module on basic portal navigation
  • Quick user guides by topic:
    • Authorizations
    • Authorization appeals
    • Claims
    • Claim disputes
    • CRMs
    • Enrollment & updating provider information
    • InBasket
    • Member Inquiry
    • Pre-login functionality
    • Site Administrator functions

The resources above will be linked as soon they are available.

FAQs

Click to expand the sections below for answers to some of the most frequently asked questions about accessing our new Provider Portal. 

No, all providers will have full access to our new Provider Portal upon registration, regardless of their use of Epic as an EMR. That said, if you use Epic as your EMR, we anticipate that you will have access to more integrated tools in the future. 

Account approval can take weeks, depending on the backlog, which is why we’re opening up account registration so far ahead of September 1. Ensure timely access by establishing a Site Administrator as soon as possible after June 15 and having all other necessary users register for an account as soon as possible after August 3.

After you request a new portal account, you’ll be asked to complete identity verification with our trusted partner, Persona. For most users, this will require showing a government-issued ID card and taking a selfie. No Social Security number is required.

Yes, you won’t be able to log into prism anymore beginning September 1. Decisioned claims, authorizations, appeals and inquiries will be automatically ported over to the new portal. However, open items like pending claims, inquiries, authorization requests and appeals will not show up in the new portal until they have been resolved. Please do not call to check on these open items unless they are past due—we’re working on them.

For general help with the Persona verification process, visit help.withpersona.com/for-end-users. For questions about your Priority Health account or your verification, contact the Priority Health tech support team at 800.942.4765, option 5, then option 1. Our hours are Monday through Thursday 8 a.m. - 6 p.m. and Friday 9 a.m. – 5 p.m (ET).

If you didn’t find the question you were looking for here, check out our provider FAQs document (link coming soon) for a number of additional answers. 

You can also call our Provider Helpline at 800.942.4765 (Mon.-Thurs. 7:30-5; Fri. 9-5) or reach out to your assigned Provider Network Management specialist for additional questions.

Note: As Priority Health transitions to our new Provider Portal, an Epic-based platform, on September 1, 2026, any provider agreements, documents, or processes referencing prism are intended to remain in full force and effect, and it is understood that the use and reference of our Provider Portal or the Priority Health provider portal now replaces all references to prism.