HealthChoice Providers

HealthChoice TPA changing to UMR in 2023

EGID’s benefits administrator will transition from HealthSCOPE Benefits to UMR on Jan. 1, 2023. UMR is UnitedHealthcare’s third-party administrator.

Follow this link to the TPA Implementation page for information to ensure a smooth transition.

HealthChoice Provider Portal

Login to view or file claims, check eligibility and benefits, initiate or check certification requests, view remittance advice and more.

Check out the NEW Portal

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HealthChoice Connect Provider Login

HealthChoice Provider: Network News

In This Issue:

Certification penalties
Claim denials for medical records
Credit balance resolution
Dental maximum benefit
HealthChoice direct data entry of claims and requests for additional information
Overpayment notification
New HealthChoice ID card for medical, dental and pharmacy
HealthChoice is partnering with CARE
HealthChoice EDI payer IDs and new group numbers
And more...

Stay up to date

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Certification

Guidelines, services requiring certification, and certification request forms.

Certification information

Health-care-billing-statement-with-stethoscope

Fee Schedule

Recent updates and fee schedule login.

Access the fee schedule

Doctor Discussing Records With Senior Female Patient

HealthChoice Patient Services

HealthChoice can help your patients find access to low or no-cost services, mental health services, and care management services for chronic conditions.

Access services