The Mass General Brigham Health Plan Provider Portal represents a cutting-edge digital platform designed to streamline healthcare provider interactions, offering comprehensive tools and resources for medical professionals to efficiently manage patient-related tasks and administrative processes.
Official Links
- Provider Portal: https://massgeneralbrighamhealthplan.org/providers/portal
- Advantage Provider Portal: https://massgeneralbrighamadvantage.org/provider-portal
What Providers Can Do
The provider portal is engineered to simplify complex healthcare administrative tasks, providing immediate access to critical information and services:
Key Functionalities
- Verify patient eligibility
- Submit and check authorizations and referrals
- Access Explanation of Payments (EOPs) instantly
- Review patient utilization statistics
- Change member Primary Care Physician (PCP)
- Manage practice providers
Access and Registration
Registration Process
- Registration takes approximately five minutes
- Providers need their practice’s tax ID number
- Access requests are managed by the practice’s user administrator
Login Requirements
- Account credentials expire after 180 consecutive days of inactivity
- Password reset available through “I Forgot My Password” link
- Security question verification required
Portal Navigation Tips
Claims and Authorization
- Use the E-Business tab for claims and prior authorization information
- Search claims by claim number or member ID
- Start new authorization requests or check existing request status
Member Information
- Fast-access tool on homepage for member eligibility information
- Dropdown selection for specific member details
User Administration
Administrator Access
- User can request Admin access under “Manage Account” link
- Contact practice’s user administrator for guidance
Customer Support
For technical support or registration assistance:
- Email: [email protected]
Privacy and Security
While specific security details are not explicitly outlined, the portal emphasizes:
- Secure access to sensitive healthcare information
- User-specific authentication
- Limited access based on user roles
Limitations and Disclaimers
Pending Approval
- Portal features and access are subject to Mass General Brigham Health Plan’s ongoing updates
- Some functionalities may require CMS approval
Additional Resources
The provider portal is part of Mass General Brigham Health Plan’s comprehensive digital ecosystem, supporting:
- Medicare Advantage plans
- Individual and family healthcare services
- Business healthcare solutions
The Mass General Brigham Health Plan Provider Portal offers healthcare professionals a robust, user-friendly platform to manage patient information, streamline administrative tasks, and enhance overall healthcare delivery efficiency.
Note: All information is current as of January 1, 2025, and is pending final CMS approval.
FAQ
Is Mass General Brigham the same as MassHealth?The Mass General Brigham MassHealth ACO offers the same benefits as MassHealth (the Massachusetts Medicaid program). Our goal is to make sure that you have access to the doctors and caregivers that you need to improve your overall health.
How do I contact Mass General Patient Gateway?Read our FAQs or contact Patient Gateway Technical Support at 800-745-9683.
How to access epic Mass General Brigham?How Do I Access Epic? First, please be sure you have completed the required Epic training courses on HealthStream. Upon completion, a Mass General Brigham administrator will then grant you access to Epic. NOTE: VPN is no longer required to access patient information.
Is Brigham or MGH better?For a fourth consecutive year, BWH earned the top honor in Obstetrics & Gynecology (OBGYN), ranking #1 in the nation, while MGH earned the top spot in Psychiatry, ranking #1 for a second consecutive year. In total, 13 specialties across MGH and BWH were recognized in the top 10 nationally.
https://massgeneralbrighamhealthplan.org/providers/portal
Our easy-to-use provider portal puts key information at your fingertips. On the portal, you and others in your practice can: Verify patient eligibility
https://massgeneralbrighamadvantage.org/provider-portal
Mass General Brigham Health Plan is an HMO-POS/PPO organization with a Medicare contract. Enrollment in Mass General Brigham Health Plan depends on contract