The Secure Health Provider Portal offers healthcare professionals a comprehensive online platform designed to streamline administrative tasks, manage patient information, and access critical healthcare resources efficiently. This digital solution provides secure, 24/7 access to essential healthcare management tools.
Official Links
- Healthcare Providers Portal: https://www.shpg.com/our-customers/healthcare-providers/
- Member Portal: https://www.shpg.com/our-customers/members/
What Healthcare Providers Can Do
The online benefits system empowers healthcare providers with comprehensive access to:
- Claims history and payment information
- Explanation of benefits
- Patient eligibility verification
- Summary plan descriptions
- Deductible and out-of-pocket accumulators
- ID card management
- Medical policy references
Access and Login
Portal Access Details
- Two portal versions available:
- For dates of service after 1/1/2023
- For service prior to 2023
Important Note
Providers need to use specific login portals based on service dates.
Key Features and Services
Provider Directory
- Search provider directories by entering group numbers from Secure Health ID cards
- Verify service coverage with Plan Administrator
Pre-Authorization Requirements
- Evidence-based guidelines for procedure authorizations
- Balance between quality patient care, safety, and cost-effectiveness
Claim Filing Information
Effective January 1, 2023, providers should file claims to:
- Medical EDI: 56162
- Dental EDI: 56205
Claim Submission Address:
MedCost Benefit Services
PO Box 25307
Winston-Salem, NC 27114-5307
Transitional Care Management
Secure Health offers transitional care management to:
- Assist during critical patient transition periods
- Help avoid unnecessary readmissions
- Reduce emergency room visits
Transitional Care Form:
Providers can download and mail the form to:
Secure Health
Medical Management Department
P.O. Box 13447
Macon, GA 31208
Privacy and Security
While specific security details are not explicitly outlined, the portal emphasizes secure, 24/7 access to sensitive healthcare information.
Customer Support
Contact Information:
- Phone: 800-648-7563
- Local: 478-314-2400
- Address: 577 Mulberry St., Suite 1000, Macon, GA 31201
Unprovided Information
The following details were not explicitly available in the source documents:
- Specific mobile app download instructions
- Detailed security protocol descriptions
- Comprehensive step-by-step login process
The Secure Health Provider Portal represents a robust digital platform enabling healthcare professionals to manage patient information, file claims, and access critical resources efficiently.
Disclaimer
Always verify current information directly with Secure Health for the most up-to-date portal features and access methods.
Keywords: secure health provider portal, healthcare management, claims processing, provider resources
FAQ
What is my secure health data portal?
-
1. Identify Your Healthcare Providers:Make a list of all the doctors, hospitals, and other healthcare facilities where you receive care.
-
Health IT.govhttps://www.healthit.govHow to Get It – The Guide to Getting and Using Your Health RecordsCheck their website: Information about how to get your health record may be found under the Contact Us section of a provider’s website. It may direct you to an …
-
-
2. Check Their Websites:Go to the website of each provider and look for a “patient portal,” “my health,” or similar section.
-
Health IT.govhttps://www.healthit.govHow to Get It – The Guide to Getting and Using Your Health RecordsCheck their website: Information about how to get your health record may be found under the Contact Us section of a provider’s website. It may direct you to an …
-
-
3. Contact Them Directly:If you can’t find information on their website, you can call or email your provider’s office and ask how to access their patient portal.
-
4. Example:If you’re a patient at UCI Health, you would look for their “My Health Rec” portal. If you’re part of the Military Health System, you would use the MHS GENESIS Patient Portal.
What is the top 5 best health insurance?
- UnitedHealthcare.
- Elevance Health (formerly Anthem)
- Kaiser Permanente.
- Centene Corporation.
- Humana.
- CVS Health (Aetna)
- Cigna Healthcare.
- Health Care Service Corporation (HCSC – operates BCBS plans in 5 states)
Is the Security health Plan owned by Marshfield Clinic?Security Health Plan of Wisconsin, Inc., is the health maintenance organization owned by Marshfield Clinic Health System, providing comprehensive health insurance options to more than 200,000 people across all 72 counties in Wisconsin.
What is a provider portal in healthcare?These portals allow healthcare providers to access essential information, submit claims, and seamlessly manage patient data, ultimately improving patient outcomes by offering patient data centralization for 360 view.
https://www.shpg.com/our-customers/healthcare-providers/
The online benefits system allows you to review information and send or receive inquiries. Your provider account provides secure, 24/7 access.
https://www.shpg.com/our-customers/members/
Provider Directory. To access your provider directory, please visit the link below and enter the two or three-digit group number on your Secure Health ID card.