2023 Provider portal
View or file claims, check eligibility and benefits, initiate or check certification requests, view remittance advice and more for claims with dates of service after Jan. 1, 2023.
TPA Implementation
HealthChoice TPA changed to UMR in 2023.
2022 Provider portal
View claims and remittance advice for dates of service prior to Jan. 1, 2023. This portal will be available until the close of business on
Dec. 31, 2023.
Certification
View guidelines and services requiring certification.
Fee Schedules
Network providers can log in to the fee schedule to view current and historical fee schedules.
Policies and Guidelines
View plan policies, guidelines and information.
Contracts and forms
Join the provider network or update your information.
Provider rights
Find answers to questions about out-of-network claims, appeal rights and cost transparency
Find a provider
Search for a Network provider by name, facility, specialty or ZIP code.
Network News
Stay up to date with plan changes by checking out the Quarterly Network News.
Patient services
Find access to low or no-cost services, mental health services, and care management services for chronic conditions.
Pharmacy Benefit Information
View member copays and costs, prior authorization, limits, specialty medications, step therapy and medication lists.
