Check patient eligibility
To confirm that a patient is a current Priority Health plan member, call the Provider Helpline at 800.942.4765, option 2.
Save time - get a provider account
Once you have an online account with us, you can use our online tools.
Member Inquiry lets you:
- Check eligibility and contract history
- Check address and phone
- Update COB information
- See out-of-pocket limits
- See deductible balance(s)
- See copays and coinsurance
- See many benefits/coverages, such as DME, home health care, maternity, prosthetic/orthotic
Request a provider account
For faster responses, get access to our online member eligibility and claims tools. The process takes a couple of days for us to verify your credentials.