eHealthsuite™ - Provider Portal

eHealthsuite offers unmatched levels of availability and service for providers in a secure, Internet-based environment.  Providers can check claim status and submit claims directly to the health plan via eHealthsuite, which reduces the reliance on paper, fax and phones, and collapses claims processing time.  The eHealthsuite provider portal also allows physician offices and case managers to enter and view past, present, or future referral and authorization information. The following functionality is available:

• Provider Registration

• Verify member eligibility

• View Member ID Card

• Verify Covered Services

• Identify Patient Deductibles / Copays

• Verify Covered Benefits

• Identify In/Out of Network Requirements

• Check Benefit Limits

• Review Patient Benefit Usage

• Request a Referral / Authorization

• Submit and Adjudicate a New Claim

• Check Claim Status

• Change Provider Information

• Display Patient Health Record

To receive more detailed information on the advanced benefit administration software application eHealthsuite “Contact Us”.