The Mass General Brigham Health Plan Provider Portal is a comprehensive online platform designed to streamline healthcare provider operations, offering quick and efficient access to critical patient and administrative information.
Official Links
- Provider Portal: https://massgeneralbrighamhealthplan.org/providers/portal
- Providers Resource Page: https://massgeneralbrighamhealthplan.org/providers
What Can Providers Do on the Portal
Healthcare providers can leverage the portal to:
- Verify patient eligibility
- Submit and check authorizations and referrals
- Access Explanation of Payment (EOP) instantly
- Review patient utilization statistics
- Change member Primary Care Physician (PCP)
- Manage practice provider information
Registration Process
How to Register
- Registration takes approximately five minutes
- Providers need their practice’s tax ID number
- Access requests are managed by the practice’s user administrator
Account Management
- User administrators can request additional access under the “Manage Account” link
- Login credentials expire after 180 consecutive days of inactivity
- Password reset available through the “I Forgot My Password” link
Key Portal Features
Claims and Authorization
- Use the E-Business tab for claims and prior authorization information
- Search claim status 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
Privacy and Security
While specific security details aren’t fully elaborated in the source documents, the portal emphasizes:
- Secure access for authorized healthcare professionals
- User-specific account management
- Credential expiration protocols
Customer Support
Contact Information:
- Email: [email protected]
- Phone: 855-444-4647
- Hours: Monday-Friday (8:00 AM – 5:00 PM EST)
- Closed 12:00 – 12:45 PM
- Urgent prior authorization requests: Available 24/7 via the same phone number
Unprovided Information
The following details were not explicitly specified in the source documents:
- Specific mobile app download instructions
- Detailed security protocol descriptions
- Comprehensive billing features
Important Considerations
Providers should:
- Keep login credentials confidential
- Regularly access the portal to prevent account deletion
- Contact their user administrator for access-related questions
The Mass General Brigham Health Plan Provider Portal offers a streamlined, user-friendly platform for healthcare professionals to manage patient information, claims, and administrative tasks efficiently.
Note: Always refer to the official Mass General Brigham Health Plan website for the most current information and guidelines.
© 2025 Mass General Brigham Health Plan, Inc. All Rights Reserved.
FAQ
Is Mass General Brigham Health Plan 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.
Is Mass General Brigham Health Plan Optum?will become Optum Rx on January 1, 2024. As health care changes at a rapid pace, Mass General Brigham Health Plan continues to innovate and build on our total cost of care model. To create lasting value for our clients and members we serve now and, in the future, we are changing our pharmacy vendor to Optum Rx.
What is the new name for the Mass General Brigham Health Plan?AllWays Health Partners Now Mass General Brigham Health Plan. AllWays Health Partners will become Mass General Brigham Health Plan on January 1, 2023. AllWays will send GIC members new ID cards reflecting their new name later in 2022, in advance of the January 1, 2023 effective date.
Is Mass General Brigham Health Plan Medicare Replacement a Medicare Plan or a Mass General Plan?The Mass General Brigham Advantage plans are Medicare Advantage plans offered by Mass General Brigham Health Plan. We continue to offer patients affordable, accessible care and great benefits while allowing providers to deliver care more flexibly than in traditional Medicare.
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://massgeneralbrighamhealthplan.org/providers
We aim to deliver an optimal provider experience with easy-to-use tools, a first-of-its-kind online enrollment portal, and innovative programs.