Sendero Health Plans: Trusted Provider Portal for Seamless Healthcare Management

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Healthcare providers need efficient, secure, and streamlined tools to manage patient information, verify eligibility, and process claims. The Sendero Health Plans Provider Portal offers a comprehensive digital platform designed to simplify administrative tasks and enhance provider-payer interactions.

Official Portal Links

What Healthcare Providers Can Do

The Sendero Health Plans Provider Portal empowers healthcare professionals with critical functionalities:

Eligibility Verification

  • Instantly verify patient membership status
  • Check coverage details
  • Confirm copayment, coinsurance, and deductible amounts
  • Review benefit prior authorization requirements

Authorization Management

  • Submit online authorization requests
  • Track existing authorizations
  • Inquiry about authorization status using billing provider Tax ID

Claims and Payment Tracking

  • Check claims status for past 3 years
  • Download claims in Excel format
  • Access Explanation of Payment (EOP)
  • View payment dates and check numbers

User Roles and Access

The portal supports multiple user roles with specific access levels:

  • Organization Admin: Create and manage user accounts
  • Practice Admin: Manage specific location settings
  • Front Desk: Basic patient interaction capabilities
  • Clinical Staff: Access patient clinical information
  • Billing Staff: Monitor claims status
  • Third-Party Agents: Limited portal access

Registration Process

For Practice Administrators

  1. Visit https://senderohealth.com/providers/
  2. Click “Provider Portal Login”
  3. Complete online registration
  4. Get approval from Sendero Health Plans provider network team

Additional User Account Creation

  • Practice administrators must create and assign roles for additional users
  • Individual staff members cannot self-register

Privacy and Security

Sendero Health Plans ensures:

  • HIPAA compliance
  • Secure data exchange
  • Role-based access control
  • Protected patient information management

Customer Support

For assistance, providers can contact:

Key Features Highlights

  • 24/7 access to patient information
  • Real-time eligibility verification
  • Streamlined authorization processes
  • Comprehensive claims management
  • User-friendly interface

Upcoming Changes

Effective July 1, 2025, Sendero is introducing:

  • New affiliated insurance entity: Access to Care Health Plan (ACHP)
  • Separate provider portal for CHAP Expansion members
  • Consistent login credentials across platforms

Important Considerations

  • Eligibility verification is not a guarantee of payment
  • Final benefits determined upon claim submission
  • Always check current coverage details before services

Recommendations for Providers

  1. Complete eligibility checks before scheduled appointments
  2. Maintain updated portal credentials
  3. Regularly review preauthorization lists
  4. Utilize provided tools and resources

The Sendero Health Plans Provider Portal represents a robust, secure platform enabling healthcare providers to efficiently manage patient interactions, streamline administrative tasks, and focus on delivering quality care.

Disclaimer: Information accurate as of August 2025. Always verify current portal features and access methods.

https://senderohealth.com/providers/

New Provider Portal. Skip the wait! Register now for the NEW Sendero Provider Portal to verify unlimited claims, authorizations, and eligibility 24/7.

https://senderohealth.com/files/Sendero%20Provider%20Portal%20User%20Guide.pdf

➢ Click on “For Providers” menu then. Portal. ➢ On the provider page click on Provider. Portal Login button under Provider. Portal section.

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