The Sutter Health Plan Provider Portal is a comprehensive digital platform designed to streamline healthcare provider operations, offering efficient management of member health benefits and critical administrative tasks.
Official Links
- Provider Portal Registration: shplan.org/providerportal
- Provider Portal Home: provider-sutterselect.tpa.com
What is the Provider Portal?
The Provider Portal is a round-the-clock digital solution that empowers healthcare professionals with immediate access to essential member information and administrative tools. It serves as a centralized hub for managing patient-related activities and accessing critical healthcare resources.
Who Can Use It
Network healthcare providers, including:
- Physicians
- Medical practices
- Healthcare facilities
- Participating provider groups
Portal Features and Services
Member Information Access
Providers can quickly retrieve:
- Member eligibility verification
- Coverage details
- Claims status
- Benefit documentation
- Primary care physician information
- Participating provider group details
Tools and Resources
The portal offers:
- Formulary access
- Prescription drug prior authorization
- Provider manual
- Medical policies
- Clinical practice guidelines
- Essential downloadable forms
Registration Process
Registration Steps
- Visit [shplan.org/providerportal]
- Select “Register Here”
- Review and accept Provider Responsibilities
- Complete registration with:
- License number
- National Provider Identifier (NPI)
- Taxpayer Identification Number (TIN)
Note: Registration processing takes 2-3 business days
Account Security
Username Requirements
- Minimum 6 characters
- No spaces or special characters
- Cannot match password
Password Requirements
- Minimum 8 characters
- Must include:
- Uppercase letter
- Lowercase letter
- Number
- Special character
- Annual password update required
Customer Support
Providers can get assistance through multiple channels:
- Phone: 855-315-5800
- TTY: 855-830-3500
- Hours: Weekdays 8:00 am – 7:00 pm
- Email: [email protected]
Claims and Eligibility Search Options
Providers can search claims using:
- Claim ID
- Date of service range
- Member ID number
- Member name
Forgotten Credentials
If username or password is forgotten:
- Click “Forgot Username?” or “Forgot Password?”
- Enter account information
- Answer security questions
- Receive email with credentials
Privacy and Security
The portal emphasizes protecting Protected Health Information (PHI) through:
- Strict registration protocols
- Annual password updates
- Secure login mechanisms
Limitations and Considerations
What Cannot Be Done
- Phone-based portal account registration
- Instant account approval
Unprovided Information
Some specific details were not explicitly stated in the source documents, such as:
- Exact mobile app availability
- Detailed security protocol specifics
- Comprehensive list of all downloadable forms
The Sutter Health Plan Provider Portal represents a robust, secure digital platform designed to enhance healthcare provider efficiency, offering comprehensive tools for member information management and administrative support.
Disclaimer: Information accurate as of August 2025, based on Sutter Health Plan Provider Portal documentation.
FAQ
Is sutter select the same as UMR?SutterSelect Vendors
UMR is a UnitedHealthcare company. UMR is the primary contact for provider and member information and assistance with SutterSelect.
Why is Sutter Health under investigation?
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Department of Justicehttps://www.justice.govSutter Health and Affiliates to Pay $90 Million to Settle False Claims Act …Aug 30, 2021 — Sutter Health, headquartered in Sacramento, contracted to provide health care services to California beneficiaries enrolled in certain plans. In exc…
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State of California – Department of Justice (.gov)https://oag.ca.govattorney general xavier becerraTAKES ACTION AGAINST SUTTER HEALTH. Attorney General Becerra filed an antitrust action against Sutter Health for illegal, anti- competitive conduct. Today’s enf…
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San Francisco Chroniclehttps://www.sfchronicle.comSutter Health charged 30% more than other hospitals, new study findsSep 4, 2024 — New research from University of Southern California health economists has found evidence that Sutter Health began implementing allegedly anticompetit…
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NBC Bay Areahttps://www.nbcbayarea.comSutter Health CEO ‘Disturbed’ by Discrimination Claims in NBC Bay …May 18, 2023 — Over the last month, the Investigative Unit broadcast a pair of reports that collectively highlighted stories from nearly a dozen current and former…
What is the lawsuit against Sutter Health?The settlement comes out of a lawsuit filed against Northern California healthcare system Sutter Health. The Sacramento-based hospital system is accused of illegally using “anticompetitive” and unfair terms in its contracts with insurance plans, affecting insurance premiums that were made from 2011 to 2021.
How do I change my provider on Sutter?You can change your PCP through your Member Portal or contact Customer Service at 855-315-5800, weekdays, 8:00 am – 7:00 pm.
https://provider-sutterselect.tpa.com/
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https://www.sutterhealthplan.org/providers/portal
With the Sutter Health Plan Provider Portal, network providers can check member eligibility, view claims and access valuable resources with ease.