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A web-based HIPAA compliant application that enables secure data transactions to and from network providers. Our resources include: Referral Submission and Status Inquiry, Claims Status Inquiry, & Provider Dispute Resolutions Status Inquiry.

Other Features include:

  • Eligibility Look-Up:
    Providers may view a member's eligibility, and Primary Care Physician (PCP) assignment. E-Lists are available in a report format, enabling users to sort and analyze reports.
  • Authorization:
    Allows network providers access to the network, based upon assigned permissions, to submit and look up authorization requests. Requests for services are then submitted through a streamlined interface and may receive an automatic approval based upon predefined, customized business rules.

We have partnered with Office Ally to bring all of your claim and encounter services online! At no charge, Office Ally will enable you to submit all of your claims and encounters electronically. Office Ally provides onsite training, and will have your staff efficiently utilizing this dynamic tool at no cost to you. By submitting electronically, your productivity will be increased, the need to call will be eliminated.

  • Claims & Encounters Submissions:
    Through Office Ally, Claims and Encounters Submissions are a whole lot easier!
    For Claims, use Payor ID PPM01
    For Encounters, user Payor ID PPM02

Provider Look-Up