RiverSpring Health Plans: Secure Provider Portal Access for Healthcare Professionals

elderserve

RiverSpring Health Plans offers a comprehensive electronic provider portal designed to streamline healthcare administration and improve communication between healthcare providers and the health plan. This secure digital platform provides real-time access to critical patient and claims information, enhancing operational efficiency for healthcare professionals.

Official Links

What Providers Can Do

The RiverSpring Health Plans Provider Portal empowers healthcare professionals to:

  • Verify member eligibility
  • Review authorization status
  • Set up electronic payments
  • Download Explanation of Payments (EOPs)
  • Submit and track claims

How to Access the Portal

Registration Process

To gain access to the provider portal, providers must:

  1. Send an email to [email protected] with the following information:
    • Provider NPI Number
    • Provider Tax ID (TIN)
    • Provider/Facility Name, Address, and Telephone Number
    • Requester Name & Business Email
    • Affiliation details (if a third-party biller)

Note: Personal email addresses like Gmail or Yahoo are not accepted.

Login Requirements

  • Username and Password
  • Temporary notice: One-time passcodes (OTP) are currently disabled due to a Microsoft 365 upgrade

Claims Submission Options

Providers have multiple claims submission methods:

Paper Claims

  • Mailing Address:
    ElderServe Health, Inc. d/b/a RiverSpring Health Plans
    PO Box 211465
    Eagan, MN 55121

Electronic Claims

  • Partnership with Change Healthcare
  • Payer ID: 05178
  • Electronic submission gateway for HIPAA-compliant 837 EDI transactions

Additional Claims Tracking

Privacy and Security

The portal emphasizes secure access, requiring:

  • Business email registration
  • Controlled information sharing
  • Compliance with healthcare data protection standards

Customer Support

Contact Information:

  • Member Services: 1-800-771-0088
  • TTY/TDD: 711
  • Operating Hours: 7 days a week, 8 a.m. to 8 p.m. ET

Claims Inquiries

Additional Resources

Providers can access:

  • Provider Manual
  • Compliance and Ethics Program Manual
  • Fraud, Waste, and Abuse Training Materials

Unprovided Information

The following details were not explicitly specified in the source documents:

  • Specific mobile app availability
  • Detailed password reset process
  • Comprehensive list of all portal features

The RiverSpring Health Plans Provider Portal represents a robust digital solution for healthcare providers, offering secure, efficient access to essential administrative tools and patient information.

Last Updated: June 27, 2025

FAQ

How do I register my Zelis provider portal?Go to www.zelispayments.com and click on “Get Started” 2. Click on “Provider Login” 3. Enter your Login credentials (if your new to Zelis, select “Sign up now!”) Follow the appropriate instructions given on the portal to start the enrollment process.

Is there a VA portal for providers?If you filed a claim with VA directly for Veteran care, you can check the status of your VA claim through the eCAMS Provider Portal (ePP). ePP is a reporting tool that allows registered users on demand access to claim status and line level adjudication information.

What is the provider portal for Aetna?Welcome to Availity® The Availity provider portal is your one-stop shop for doing business with us.

Is there a Cigna Medicare provider portal?Availity Essentials is now Cigna Healthcare® Medicare Advantage’s provider portal. Cigna Healthcare® Medicare Advantage is always looking for ways to simplify business processes and improve your online experience, giving you access to the information and tools you need most.

https://riverspring.ppi.com/provider/sign_in

RiverSpring Health Plans is a secure, electronic portal developed specifically for providers in the RiverSpring Health Plans network. https://portal

https://riverspringhealthplans.org/providers/

Providers may verify member eligibility, review authorizations, set up electronic payments, and download Explanation of Payments through our Provider Portal.

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