Search
Tuesday, December 10, 2024
Skip to Home Subsystem Menu
Home
Publication Search
Site Map
Site Settings
Language Selection
| Contact Information
Contact Us
Phone Numbers & Links
| Member Information
Member Notices
Find a Provider
Publications and Manuals
Register for Secure Access
| Provider Information
Provider Notices
Provider Manuals
Provider Messages
Fee Schedules
Forms for Providers
Reports for Public Access
FAQ for Providers
Web Portal Training
Provider Education
| Provider Enrollment
Enrollment Application Status
Enrollment Wizard
Provider Contract Status
EFT Agreement
Enrollment Forms
| Nurse Aide/Medication Aide
| EDI
Submitter Information
Companion Guides and Manuals
Vendor List
Registration Forms
FAQ for EDI
| Pharmacy
Pharmacy Notices
Pricing List
Medicare Updates
Other Documents
Prior Approval Process
| HFRD
HFRD Application Status
Home
Publication Search
Site Map
Site Settings
Language Selection
<- Bookmarkable Link
Click here for help and information about bookmarks
»
User Information
Login/Manage Account
Login/Manage Account
Login
Everyone
These pages will be available to all users regardless of whether or not they have logged in.
Menu Choice
Home
Home |
Publication Search
Home |
Site Map
Home |
Site Settings
Home |
Language Selection
Contact Information
Contact Information |
Contact Us
Contact Information |
Phone Numbers & Links
Member Information
Member Information |
Member Notices
Member Information |
Find a Provider
Member Information |
Publications and Manuals
Member Information |
Register for Secure Access
Members can register for a login that grants access to secured content such as claims and eligibility information.
Provider Information
Provider Information |
Provider Notices
Provider Information |
Provider Manuals
Provider Information |
Provider Messages
Provider Information |
Fee Schedules
Provider Information |
Forms for Providers
Provider Information |
Reports for Public Access
Provider Information |
FAQ for Providers
Provider Information |
Web Portal Training
Provider Information |
Provider Education
Provider Enrollment
Provider Enrollment |
Enrollment Application Status
Provider Enrollment |
Enrollment Wizard
Provider Enrollment |
Provider Contract Status
Provider Enrollment |
EFT Agreement
Electronic Funds Transfer Agreement
Provider Enrollment |
Enrollment Forms
Nurse Aide/Medication Aide
EDI
EDI |
Submitter Information
EDI |
Companion Guides and Manuals
EDI |
Vendor List
EDI |
Registration Forms
EDI |
FAQ for EDI
Pharmacy
Pharmacy |
Pharmacy Notices
Pharmacy |
Pricing List
Pharmacy |
Medicare Updates
Pharmacy |
Other Documents
Pharmacy |
Prior Approval Process
HFRD
HFRD |
HFRD Application Status
HFRD |
HFRD Application
Members
These pages will be available to members once they have logged into the system. Members wishing to establish a login should register on the Register for Secure Access page under the Member Information menu option.
Menu Choice
Account
Account |
Messages
Members
Members |
Member Secure Home
Members |
Benefit Information
Members |
Find Claims
Members |
Health Check
Members |
Member ID Card Request
Members |
View/Change Address
Members |
View/Change Plan
Members |
1095-B Form Information
Prior Authorization
Prior Authorization |
Search Prior Authorization
Reports
Reports |
Letters
Providers
These pages will be available to providers and their office administrators once they have logged into the system. Office administrators will only see the options granted to them by their currently selected provider.
Menu Choice
Provider Enrollment |
Provider Rate Increase Request
Provider Enrollment |
CMO Credentialing Application
Provider Enrollment |
New Specialty Application
Provider Enrollment |
NEMT Disclosure of Ownership
Provider Enrollment |
Enrollment Template Manager
Account
Account |
Messages
Account |
Switch User
*Available to provider office administrators only.
Providers
Providers |
Secure Home
Providers |
Demographic Maintenance
Providers |
Group Affiliation
Providers |
Direct Exchange Addresses
Providers |
Provider Rates
Providers |
Bed Registry
Providers |
Procedure Search
Providers |
EOB Search
Providers |
Recredential/Revalidation
Providers |
Patient Profile
Providers |
Change of Information
Training
Training |
Training Schedules
Training |
Online Training
Claims
Claims |
Search (Void, Adjust) Claims
Search for claims. Rendering Providers and their representatives can also void and adjust claims while viewing the claim.
Claims |
New Dental Claim
Claims |
New Institutional Claim
Claims |
New Professional Claim
Claims |
Locum Tenens
Eligibility
Eligibility |
Eligibility Request
Presumptive Activations
Presumptive Activations |
Newborn Activations
Presumptive Activations |
Hospital Activations
Presumptive Activations |
Pregnant Women Activations
Presumptive Activations |
Women's Health Activations
Health Check
Health Check |
Search Health Check
Prior Authorization
Prior Authorization |
Search Prior Authorization
Prior Authorization |
Submit/View
Prior Authorization |
Medical Review Portal
Prior Authorization |
Waiver Case Manager PA Search
Reports
Reports |
Financial Reports
Reports |
HS&R Reports
Hospital Statistical and Reimbursement Reports
Reports |
Other Reports
Reports |
Letters
Trade Files
Trade Files |
Download
Group Providers
These pages will be available to group provider types.
Menu Choice
Provider Enrollment |
CMO Credentialing Application
Provider Enrollment |
New Specialty Application
Provider Enrollment |
NEMT Disclosure of Ownership
Provider Enrollment |
Enrollment Template Manager
Account
Account |
Messages
Providers
Providers |
Secure Home
Providers |
Demographic Maintenance
Providers |
Group Affiliation
Providers |
Direct Exchange Addresses
Providers |
Procedure Search
Providers |
EOB Search
Providers |
Recredential/Revalidation
Providers |
Change of Information
Training
Training |
Training Schedules
Training |
Online Training
Claims |
Search (Void, Adjust) Claims
Search for claims. Rendering Providers and their representatives can also void and adjust claims while viewing the claim.
Reports
Reports |
Financial Reports
Reports |
Letters
Payees
These pages will be available to payees.
Menu Choice
Provider Enrollment |
Enrollment Template Manager
Account
Account |
Messages
Account |
Switch User
*Available to provider office administrators only.
Account |
Switch Payee Servicing Provider
*Available to agents and billing agents acting under payee authority only.
Providers |
Procedure Search
Providers |
EOB Search
Providers |
Change of Information
Claims
Claims |
Search (Void, Adjust) Claims
Search for claims. Rendering Providers and their representatives can also void and adjust claims while viewing the claim.
Reports
Reports |
Financial Reports
Reports |
HS&R Reports
Hospital Statistical and Reimbursement Reports
Reports |
Other Reports
Reports |
Letters
Trade Files
Trade Files |
Download
English
|
EspaƱol
|
Accessibility
|
Privacy
|
AMA & ADA Copyright
© Copyright 2024 Gainwell Technologies