Your provider portal
Access the tools you need, whenever you need them.
Designed with your practice in mind
Our easy-to-use provider portal puts key information at your fingertips. On the portal, you and others in your practice can:
- Verify patient eligibility
- Submit or check authorizations and referrals
- See your EOPs instantly
- Access patient utilization stats and information
- Change a member PCP
- Manage the providers in your practice
- And more
Tips for checking claims, eligibility, and prior authorization requirements
Use the E-Business tab for claims and PA information
To check the status of a claim, log into the portal and choose "Claims Status" under the E-Business tab. You can search by claim number or member ID.
Also under the E-Business tab, our "Authorizations & Referrals" page lets you start a new request or check the status of an existing request.
See member info right on the homepage
You can get member eligibility information using the fast-access tool on the portal homepage. Simply, use the dropdown to select they information you'll enter to find a specific member.
Frequently asked questions about the provider portal
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How do I register for the portal?
It only takes about five minutes to register for the provider portal. Have your practice's tax ID number handy before you start.
Access requests are managed by the user administrator for your practice. Contact your user administrator if you have any questions.
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How do I become an administrator?
When your portal account is activated, you can request User Admin access under the Manage Account link on the portal home page.
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What do I do if my account or password expire?
Your login credentials will expire and be deleted if you do not log in for 180 consecutive days. If your account is deleted, you will be required to re-register.
If you forget your password, you can reset it by clicking the "I Forgot My Password" link within the Provider Portal login page. You will be asked to provide a contact phone number and answer a security question.
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How do I contact customer support for the provider portal?
For registration support, technical issues, or other questions and concerns, contact HealthPlanprweb@mgb.org