Provider Web Portal Quick Guides
Use these step-by-step, illustrated instructions to help navigate the Provider Web Portal.
- Adding and Updating TPL Information
- Administrative Password Reset Process
- Aid Code and Benefit Plan Acronyms
- Billing from the Correct Account
- Copy, Adjust, or Void a Claim
- Delegates
- Delegate Access Definitions
- Entering NDC Information on a Claim
- Provider Maintenance
- Provider Maintenance - Adding an NPI
- Provider Maintenance - Hospital Provider Adding an NPI
- Provider Maintenance - Paying a Previously Waived Enrollment Application Fee
- Provider Maintenance - Update License & CLIA
- Provider Portal - Disenrollment
- Pulling an 835 - Linking the TPID
- Pulling a Remittance Advice (RA)
- Reading a Remittance Advice (RA) Dated Before 1/9/2019
- Reading a Remittance Advice (RA)
- Revalidation
- Submitting a Claim with Other Insurance or Medicare Crossover Information
- Submitting an Institutional Claim
- Submitting a Professional Claim
- Submitting a Nursing Facility Post Eligibility Treatment of Income (PETI) Prior Authorization Request (PAR)
- TIN Match Verification
- Updating an EFT
- Updating an ERA
- Verifying Member Eligibility and Co-Pay
- Verifying Remaining Service Units
- Viewing Prior Authorizations in the Portal
- Web Portal Registration
Provider Enrollment Portal Quick Guides
Use these step-by-step, illustrated instructions to help you navigate the Provider Enrollment Portal.
Resources
- FAQ Central
- Julian Calendar/Leap Year Julian Calendar
- Third-Party Liability and Medicare
- Provider Services Call Center Virtual Agent Fact Sheet
| Usage | Service Location Address | Mailing Address | Billing Address | Contact Information |
|---|---|---|---|---|
| Provider Renders Services | X | |||
| Populates "Find A Doctor" Directory | X | |||
| Shared National Provider Identifier (NPI) Zip Code Used for Claims | X | |||
| Provider Communications (bulletins, newsletters, etc.) | X | |||
| Prior Authorization Request (PAR) Letters Sent (if not receiving electronically) | X | |||
| Paper Checks and Remittance Advice Statements Sent (if not receiving electronically) | X | |||
| Maintenance Updates | X | |||
| Enrollment Approvals | X | |||
| Enrollment Applications | X |