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Thursday, November 21, 2024

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These pages will be available to all users regardless of whether or not they have logged in.

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Contact Information
Contact Information \| Contact Us
Contact Information \| Phone Numbers & Links
Member Information
Member Information \| Member Notices
Member Information \| Find a Provider
Member Information \| Publications and Manuals
Member Information \| Register for Secure Access	Members can register for a login that grants access to secured content such as claims and eligibility information.
Provider Information
Provider Information \| Provider Notices
Provider Information \| Provider Manuals
Provider Information \| Provider Messages
Provider Information \| Fee Schedules
Provider Information \| Forms for Providers
Provider Information \| Reports for Public Access
Provider Information \| FAQ for Providers
Provider Information \| Web Portal Training
Provider Information \| Provider Education
Provider Enrollment
Provider Enrollment \| Enrollment Application Status
Provider Enrollment \| Enrollment Wizard
Provider Enrollment \| Provider Contract Status
Provider Enrollment \| EFT Agreement	Electronic Funds Transfer Agreement
Provider Enrollment \| Enrollment Forms
Nurse Aide/Medication Aide
EDI
EDI \| Submitter Information
EDI \| Companion Guides and Manuals
EDI \| Vendor List
EDI \| Registration Forms
EDI \| FAQ for EDI
Pharmacy
Pharmacy \| Pharmacy Notices
Pharmacy \| Pricing List
Pharmacy \| Medicare Updates
Pharmacy \| Other Documents
Pharmacy \| Prior Approval Process
HFRD
HFRD \| HFRD Application Status
HFRD \| HFRD Application

Members

These pages will be available to members once they have logged into the system. Members wishing to establish a login should register on the Register for Secure Access page under the Member Information menu option.

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Account
Account \| Messages
Members
Members \| Member Secure Home
Members \| Benefit Information
Members \| Find Claims
Members \| Health Check
Members \| Member ID Card Request
Members \| View/Change Address
Members \| View/Change Plan
Members \| 1095-B Form Information
Prior Authorization
Prior Authorization \| Search Prior Authorization
Reports
Reports \| Letters

Providers

These pages will be available to providers and their office administrators once they have logged into the system. Office administrators will only see the options granted to them by their currently selected provider.

Menu Choice
Provider Enrollment \| Provider Rate Increase Request
Provider Enrollment \| CMO Credentialing Application
Provider Enrollment \| New Specialty Application
Provider Enrollment \| NEMT Disclosure of Ownership
Provider Enrollment \| Enrollment Template Manager
Account
Account \| Messages
Account \| Switch User	*Available to provider office administrators only.
Providers
Providers \| Secure Home
Providers \| Demographic Maintenance
Providers \| Group Affiliation
Providers \| Direct Exchange Addresses
Providers \| Provider Rates
Providers \| Bed Registry
Providers \| Procedure Search
Providers \| EOB Search
Providers \| Recredential/Revalidation
Providers \| Patient Profile
Providers \| Change of Information
Training
Training \| Training Schedules
Training \| Online Training
Claims
Claims \| Search (Void, Adjust) Claims	Search for claims. Rendering Providers and their representatives can also void and adjust claims while viewing the claim.
Claims \| New Dental Claim
Claims \| New Institutional Claim
Claims \| New Professional Claim
Claims \| Locum Tenens
Eligibility
Eligibility \| Eligibility Request
Presumptive Activations
Presumptive Activations \| Newborn Activations
Presumptive Activations \| Hospital Activations
Presumptive Activations \| Pregnant Women Activations
Presumptive Activations \| Women's Health Activations
Health Check
Health Check \| Search Health Check
Prior Authorization
Prior Authorization \| Search Prior Authorization
Prior Authorization \| Submit/View
Prior Authorization \| Medical Review Portal
Prior Authorization \| Waiver Case Manager PA Search
Reports
Reports \| Financial Reports
Reports \| HS&R Reports	Hospital Statistical and Reimbursement Reports
Reports \| Other Reports
Reports \| Letters
Trade Files
Trade Files \| Download

Group Providers

These pages will be available to group provider types.

Menu Choice
Provider Enrollment \| CMO Credentialing Application
Provider Enrollment \| New Specialty Application
Provider Enrollment \| NEMT Disclosure of Ownership
Provider Enrollment \| Enrollment Template Manager
Account
Account \| Messages
Providers
Providers \| Secure Home
Providers \| Demographic Maintenance
Providers \| Group Affiliation
Providers \| Direct Exchange Addresses
Providers \| Procedure Search
Providers \| EOB Search
Providers \| Recredential/Revalidation
Providers \| Change of Information
Training
Training \| Training Schedules
Training \| Online Training
Claims \| Search (Void, Adjust) Claims	Search for claims. Rendering Providers and their representatives can also void and adjust claims while viewing the claim.
Reports
Reports \| Financial Reports
Reports \| Letters

Payees

These pages will be available to payees.

Menu Choice
Provider Enrollment \| Enrollment Template Manager
Account
Account \| Messages
Account \| Switch User	*Available to provider office administrators only.
Account \| Switch Payee Servicing Provider	*Available to agents and billing agents acting under payee authority only.
Providers \| Procedure Search
Providers \| EOB Search
Providers \| Change of Information
Claims
Claims \| Search (Void, Adjust) Claims	Search for claims. Rendering Providers and their representatives can also void and adjust claims while viewing the claim.
Reports
Reports \| Financial Reports
Reports \| HS&R Reports	Hospital Statistical and Reimbursement Reports
Reports \| Other Reports
Reports \| Letters
Trade Files
Trade Files \| Download

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