Introducing Provider Portal

Simplified Submission Process

Submitting your utilization review, pre-authorization, and pre-certification requests has never been easier. Our intuitive interface guides you through the process step by step, ensuring that all necessary information we need is gathered so that you can be provided with a response without any delays. With our streamlined system, you can submit your requests with confidence, knowing that each detail is accurately captured.

Fast and Transparent Responses

Gone are the days of waiting for snail mail, fax or playing phone tag for approval or denial letters. Our provider portal allows you to access these important documents instantly. Once your request is reviewed, you’ll receive a notification via email, and with just a few clicks, you can download your approval or denial letter directly from the portal. This not only saves time but also provides the transparency you need to keep your operations running smoothly.

Efficient Appeal Process

In the unfortunate event that your request receives a denial, our provider portal makes it simple to initiate an appeal. We understand that every case is unique, and our appeal process allows you to present your case effectively. Within the portal, you can provide additional documentation, outline your arguments, and track the progress of your appeal, ensuring that your concerns are addressed promptly and thoroughly.

Streamlined NPI Management

Users now have the ability to submit pre-certification requests not only for different NPI numbers but also for various service locations all within the same user account. By enabling this feature, we aim not only to simplify the administrative process, but to empower you to achieve greater efficiency in your daily operations.

Auto Approval or Denial (COMING SOON)

We are constantly striving to enhance your experience with our provider portal. Soon, we will be introducing the ability to receive instant approval or denial on certain procedures or services. This exciting development will further expedite your decision-making process, allowing you to proceed with confidence or explore alternative options without delay. Stay tuned for this upcoming feature, which will revolutionize the way you navigate the pre-authorization process.