Memorial Hermann Health Plan: Secure Provider Portal Access for Healthcare Professionals

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The Memorial Hermann Health Plan Provider Portal represents a comprehensive digital platform designed to streamline healthcare provider interactions, offering efficient tools and resources for medical professionals seeking quick, secure access to critical patient and claims information.

Official Links

What Providers Can Do

The Provider Portal offers an extensive range of functionalities, enabling healthcare professionals to:

  • Perform self-registration
  • Check patient eligibility
  • Search authorizations
  • Review claims
  • Export claims reports
  • Print Explanation of Payments
  • Receive health plan notifications

User Access and Registration

Eligibility for Registration

Providers can register with the following credentials:

  • Exact Provider Name
  • National Provider Identifier (NPI)
  • Phone Number
  • Tax ID
  • Check number within the last 12 months

Registration Roles

Providers can register under multiple user roles:

  • Office Manager
  • Biller
  • Clinical Staff
  • Clerk

Registration Process

  • First registrant becomes the Local Administrator
  • Account processing takes approximately 72 hours
  • Local Administrators can add additional users, bypassing the standard timeline

Portal Features

The Memorial Hermann Health Plan Provider Portal includes:

Patient Inquiry

  • Demographic Information
  • Primary Care Physician (PCP)
  • Policy Number
  • Group Details

Eligibility Management

  • Benefit Plan Description
  • Recent Claims
  • Limits and Accumulators
  • Deductibles and Out-of-Pocket Expenses

Claims Center

Comprehensive claims management with details such as:

  • Facility and Professional Claims
  • Medical Claim ID
  • Date(s) of Service
  • Claim Status
  • Diagnosis
  • Received Date
  • Payment Details

Technical Requirements

  • Recommended Browsers: Google Chrome or Microsoft Edge
  • Clear browser cookies and cache before accessing
  • JavaScript must be enabled

Customer Support

For technical assistance or registration questions, contact:

  • Customer Service: (855) 645-8448

Privacy and Security

Memorial Hermann Health Plan complies with federal civil rights laws and maintains non-discriminatory practices regarding race, color, national origin, age, disability, and sex.

Important Notes

  • The previous provider portal was sunset on 11/30/2021
  • Local Administrators can manage user access
  • Technical issues can be reported through the portal’s messaging center

Unprovided Information

Some specific details about advanced portal functionalities or future updates were not available in the provided sources.

The Memorial Hermann Health Plan Provider Portal offers a robust, secure platform for healthcare providers to manage patient information, claims, and administrative tasks efficiently.

Note: All information is current as of the Memorial Hermann Health Plan website content in August 2025.

FAQ

What is the phone number for Memorial Hermann claims?Eligibility: Please call customer service for eligibility at (855) 645-8448. 2025 Claim Processing Notice: All Address: All addresses on claims submitted -must match the current address on file in our system as address we have on file.

What is the phone number for Memorial Hermann employee health?You may also call (713) 338-6519 or (800) 778-8935 to learn more. For Memorial Hermann employees with questions about the Wellness Program, please email [email protected].

What is the timely filing limit for Memorial Hermann health plan?The original claim must be received by The Health Plan 180 days from the date of service. In the event the claim requires resubmission, health care providers have 180 days from the date of the original denial or 180 days from the DOS, whichever is greater.

https://healthplan.memorialhermann.org/for-providers

Join the network Resources Provider Portal. In need of care today? We’ve got you covered. Doctor Search. Find a Doctor near you. Find a Doctor. Location Search.

https://healthplan.memorialhermann.org/for-providers/resource-center/provider-portal-training

What can I do on the Provider Portal? · Self-Register · Check Eligibility · Search Authorizations · Check Claims · Export Claims in a Report · Print Explanation

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