The Preferred Care Network (PCN) Provider Portal offers healthcare professionals a comprehensive digital platform designed to streamline administrative tasks and enhance provider-network interactions. This secure online portal provides critical tools and resources for medical professionals to efficiently manage patient-related transactions and access essential information.
Official Links
- Preferred Care Network: https://www.pcnhealth.com/en/providers/
- Preferred Administrators: https://www.preferredadmin.net/providers.html
What is the Provider Portal?
The Provider Portal is a robust digital platform that enables healthcare providers to:
- Verify member eligibility and benefits
- Submit authorization requests
- View hospital admission/discharge information
- Submit claims and track claim status
- Submit up to 12 diagnosis codes on a single claim
Key Portal Features
24/7 Access
Providers can submit transactions and access critical information:
- Twenty-four hours a day
- Seven days a week
- Increased data accuracy
- Avoid documentation duplication
Specific Provider Capabilities
- Eligibility verification
- Authorization request submissions
- Hospital admission/discharge tracking
- Claims submission and status monitoring
Who Can Use the Portal?
Based on available information, the portal appears primarily designed for:
- Primary Care Physicians (PCPs)
- Healthcare providers within the Preferred Care Network
- Authorized medical professionals
Privacy and Security
While specific security details are not fully elaborated in the source documents, the portal emphasizes:
- Secure access
- Dedicated provider authentication
- Protected information management
Customer Support
Providers can contact Preferred Care Network through:
- Sales: 1-800-507-0544 (TTY 711)
- Toll-free customer service line
Important Notes for Providers
Credentialing and Updates
Providers should contact the network to update:
- Address locations
- Name changes
- Billing company modifications
- NPI/TPI updates
- Phone and fax contact information
Additional Resources
The portal offers access to:
- Provider directories
- Preventive service listings
- Pharmacy information
- Clinical practice guidelines
Limitations and Considerations
Some portal features appear restricted:
- Certain functions may be limited to Primary Care Physicians
- Specific access levels might vary
Technical Specifications
Portal Availability
- Web-based platform
- Accessible through secure login
- Updated as of October 1, 2024
Unprovided Information
The following details were not explicitly specified in the source documents:
- Exact login procedure
- Mobile app availability
- Detailed security protocols
- Comprehensive feature list
The Preferred Care Network Provider Portal represents a valuable digital tool for healthcare professionals, offering streamlined administrative processes and enhanced network communication.
Disclaimer: Information is current as of the documentation dated October 1, 2024. Providers should confirm specific details directly with Preferred Care Network.
FAQ
Did UnitedHealthcare buy PreferredOne?The acquisition of PreferredOne by UnitedHealthcare does not impact your current benefit plan. Your employees can continue to use their current PreferredOne health benefits, access their online account on the PreferredOne website, and contact customer service for the remainder of the policy plan year.
What is preferred one insurance?BIG SAVINGS FOR EMPLOYERS
PreferredOne, together with United Healthcare offers employers a level monthly funding option that caps their health insurance costs, like a fully insured product, then pays the employer back any unused funds at the end of the policy year.
What is the phone number for preferred administrators claims?Please call our Customer Service Helpline when you have questions or concerns at 915-532-3778.
What is the phone number for insurance benefit administrators provider portal?We are available between 7 a.m. and 4:30 p.m. (CST) Monday through Friday at 844-630-7500.
https://www.pcnhealth.com/en/providers/
You can register for access to our secure provider portal where you can conduct many transactions such as Verification of member eligibility / benefits.
https://www.preferredadmin.net/providers.html
To view our network of providers, please select Provider Directories to the right. You can contact us at 915-532-3778 ext. 1507 or toll free at 1-877-532-3778