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HealthChoice Providers

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.


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.

Last Modified on Sep 18, 2023