With provider self service, you can verify patient eligibility, create and review referrals and authorizations, submit claims and check claim status, look up codes, view remittances, access pharmacy data by patient, access quality and affordability data and make changes to your provider practice information.
Once you’ve registered, you will have limited access to the tools and features until you add a provider TIN to your account.
To gain immediate access to all features, add a provider and use a recent referral/authorization to verify the account using the auth/order number and key code. This is the quickest method to gain full access to self-service. There are alternative methods for validating providers, which are given at the time of adding a provider.
Log in or create accountCustomer service representatives are available to assist you Monday - Friday 8 AM - 6 PM.
Chat is available through your self-service account.
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APPLIED BEHAVIOR ANALYSIS (ABA)
(866) 323-7155
FRAUD AND ABUSE
(800) 333-1620
Find the preferred contact method and information for submitting your documentation. Use the correct email, fax number or mailing address to minimize delays in processing.
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