The Peach State Health Plan Provider Portal represents a comprehensive digital platform designed to streamline healthcare provider interactions, offering efficient management tools and resources for medical professionals serving Georgia’s diverse healthcare community.
Official Portal Links
- Provider Portal: https://provider.pshpgeorgia.com/
- Member Portal: https://member.pshpgeorgia.com/
What Providers Can Do
Healthcare professionals using the Peach State Health Plan Provider Portal can perform critical administrative and clinical tasks, including:
- Verify member eligibility
- Manage claims submission and status
- Submit and confirm authorizations
- View detailed patient lists
- Access provider resources and training materials
Access and Registration
Provider Registration Process
Providers can register through the portal with specific guidelines:
- Contracted providers can register immediately
- Non-contracted providers can register after submitting their first claim
Login Requirements
Providers need to:
- Create an account
- Use credentials specific to their provider status
- Access secure portal through official links
Features and Services
Key Portal Capabilities
- Eligibility Verification
- Claims Management
- Authorization Processing
- Patient Information Access
Provider Resources
- Provider Training
- Cultural Competency Training
- New Provider Orientation
- Monthly Provider Education Sessions
Privacy and Security
The portal emphasizes data protection with:
- Secure login mechanisms
- Compliance with healthcare privacy standards
- Restricted access based on provider credentials
Customer Support
Provider Services Contact
- Phone: 1-866-874-0633
- Hours: Monday – Friday, 7 a.m. to 7 p.m.
Additional Portal Insights
The Peach State Health Plan Provider Portal is part of the Centene Corporation’s digital ecosystem, designed to enhance provider-plan interactions and streamline healthcare administrative processes.
Unprovided Information
Some specific details were not explicitly available in the source documents, such as:
- Exact mobile app download instructions
- Detailed technical requirements for portal access
- Specific security protocol descriptions
The Peach State Health Plan Provider Portal offers healthcare professionals a robust, secure platform for managing patient interactions, claims, and administrative tasks efficiently.
Disclaimer
Information is current as of August 2025 and subject to potential updates by Peach State Health Plan.
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https://www.pshpgeorgia.com/providers.html
Peach State Health Plan offers free online accounts for providers. Create yours and access the secure tools you need today.
https://www.pshpgeorgia.com/login.html
After creating an account within the Peach State Health Plan provider portal you can: Verify member eligibility; Check & submit claims; Submit & confirm