In today’s rapidly evolving healthcare technology landscape, medical providers need efficient, secure methods to manage patient information, submit authorizations, and track critical healthcare documentation. The PHP Prime Healthcare Provider Portal represents a comprehensive digital solution designed to streamline administrative processes and enhance provider interactions.
Official Resources
- Provider Portal Login: PHP MCS Essette Authorization Portal
- Provider Eligibility Verification: Managed Care Administrators Portal
What Providers Can Do
The PHP Prime Healthcare Provider Portal offers robust functionality for medical professionals, including:
Authorization Management
- Submit new prior authorization requests
- Track existing authorization statuses
- Upload supporting medical documentation
- Search patient medical records
Key Portal Features
- 90-day account maintenance requirement
- Urgent and routine request submissions
- Diagnosis and service code searching
- Provider and patient information management
Access and Login Process
Login Requirements
- Unique username and password
- Provider name selection
- Two-step verification process
Important Login Notes
- Automatic 90-day account lockout if inactive
- Provider-specific location access
- Secure authentication protocols
Security and Compliance
Account Security
- 90-day login requirement
- Mandatory provider name verification
- Secure document upload mechanisms
Compliance Features
- HIPAA-aligned authentication
- Encrypted document transmission
- Restricted access based on provider credentials
Support Channels
Technical Support
- Portal Support Email: [email protected]
- Phone: 720-612-6600 (Option 1, then Option 6)
- Available for portal access and technical assistance
Authorization Support
- Prior Authorization: 720-612-6600 (Option 1)
- Hours: Monday – Friday, 8:30 – 4:30 pm MT
- Fax: 303-605-1545
Care Coordination
- Phone: 720-612-6600 (Option 1, then Option 2)
- Fax: 303-256-1721
Supported Authorization Types
Inpatient Authorizations
- Precertification requests
- Surgical procedure submissions
Outpatient Authorizations
- Ambulatory surgery
- Cardiac procedures
- Diagnostic testing
- Therapy services
- Medical equipment requests
Unprovided Information
While the documentation provides comprehensive portal details, specific information about mobile app availability is not explicitly mentioned in the source documents.
The PHP Prime Healthcare Provider Portal offers medical professionals a secure, efficient platform for managing patient authorizations, documentation, and administrative tasks. By leveraging advanced digital tools, providers can streamline their workflow and focus more on patient care.
Contact Information
- Technical Support: [email protected]
- Phone: 720-612-6600
Last Updated: April 2025
FAQ
What are the three basic types of managed care providers?
- Health Maintenance Organizations (HMO) usually only pay for care within the network. …
- Preferred Provider Organizations (PPO) usually pay more if you get care within the network. …
- Point of Service (POS) plans let you choose between an HMO or a PPO each time you need care.
What’s the difference between Medicaid and managed care?Traditional Medicaid is administered directly by your state government. The state pays healthcare providers for each service they provide to you. With Managed Medicaid, your state contracts with private insurance companies called Managed Care Organizations (MCOs).
Where can I find my managed care provider ID?Insurance carriers ask for a Provider Name and Provider ID for plans that require a Primary Care Physician designation (HMO plans and POS plans). In most cases, the Provider ID can be found by searching for the provider on an insurance carrier’s Find A Provider tool on their website.
What is a managed care system?Managed Care is a health care delivery system organized to manage cost, utilization, and quality.
https://mcatta.com/provider/provider_login
You can view information regarding your patients’ eligibility status and their claims by entering the member’s ID number from their card and your federal tax ID
https://www.phpmcs.com/Dal/MCSGuide
For questions or assistance with the authorization process. Monday – Friday, 8:30 – 4:30 pm MT. Prior Authorization Fax. 303-605-1545. Care