MetroPlusHealth provides a comprehensive Provider Portal designed to streamline healthcare management for over 34,000 network providers. This digital platform empowers healthcare professionals with essential tools and resources to efficiently serve their patients while simplifying administrative processes.
Official Links
- Provider Portal: https://metroplus.org/providers/
- Login Page: https://metroplushealth.my.site.com/Providers/s/login/
What is the MetroPlusHealth Provider Portal?
The Provider Portal is a centralized digital platform that serves as a one-stop resource for healthcare providers in the MetroPlusHealth network. It offers a range of critical functionalities to support medical professionals in delivering high-quality patient care.
Key Features and Services
Comprehensive Provider Tools
- Member eligibility verification
- Authorization status tracking
- Claims submission and tracking
- Access to orientation materials
- Benefit change notifications
- Membership rosters
Network Insights
- Provider performance profiles
- Diagnosis code lists
- Membership and utilization reports
Who Can Use the Portal?
The Provider Portal is exclusively available to:
- Registered MetroPlusHealth network providers
- Healthcare professionals within their 34,000+ provider network
- Professionals across various medical specialties
Access and Login
Login Process
- Visit the official Provider Portal login page
- Enter your professional credentials
- Access your personalized dashboard
Network Coverage
- 40+ hospitals
- 110 urgent care centers
- 400 pharmacies
- 34,000+ healthcare providers
Billing and Claims
Reimbursement Details
- Electronic and paper-based claims accepted
- Reimbursement timelines:
- Electronic claims: 30 days
- Paper claims: 45 days
- Claims must detail services within 90 days of service date
Privacy and Security
MetroPlusHealth prioritizes:
- HIPAA compliance
- Secure data transmission
- Restricted access protocols
- Regular system updates
Customer Support
Provider Support Helpline
- Phone: 1.800.303.9626
- Hours: Monday–Friday, 8 a.m.–6 p.m. (ET)
Mobile Accessibility
App Downloads
- Available on:
- App Store
- Google Play
Additional Resources
Providers can access:
- Authorization grids
- Provider training materials
- Pharmacy resources
- Behavioral health information
- Provider newsletters
Unprovided Information
Some specific details were not explicitly available in the source documents, such as:
- Exact login procedure steps
- Detailed security protocols
- Specific app features
The MetroPlusHealth Provider Portal represents a robust, user-friendly platform designed to enhance healthcare provider efficiency and patient care management.
Contact Information
- General Inquiries: 866.496.6636
- Provider Support: 1.800.303.9626
Note: Information current as of August 2025
FAQ
Is MetroPlus only in NYC?To be eligible for a MetroPlus plan you must be a New York City resident and be lawfully present in the United States.
Who owns MetroPlus Health?A wholly-owned subsidiary of NYC Health + Hospitals, the nation’s largest public health system, MetroPlusHealth is the plan of choice for over half a million New Yorkers and has a five-star rating based on the State’s 2018 Consumer’s Guide to Medicaid and Child Health Plus Managed Care Plans in New York City.
What is the timely filing limit for MetroPlus claims?Claims must be submitted in writing within 45 calendar days of the date of the original check or denial notification.
How do I find my MetroPlus member ID number?Your Member ID will be available to you via a physical card that will be mailed and virtually through your member portal (members.metroplus.org). If you are a new member and don’t have your member ID yet, please contact MetroPlusHealth Customer Service at 1-800-303-9626.
https://metroplus.org/providers/
Explore MetroPlusHealth’s Provider Portal—claims, eligibility, prior auth forms & tools for NY healthcare providers. Serving NYC since 1985.
https://metroplushealth.my.site.com/Providers/s/login/
Welcome to the new and improved MetroPlusHealth Provider Portal! To get started, you must create a new account. Click “Create an Account” below.