Health Plan Portal Access Training

Service Description

The Initial setup, access, and training for a suite of essential health plan provider portals. Our services are designed to streamline administrative processes, ensure efficient claims management, and empower your team with the knowledge to effectively utilize these critical online platforms. By providing detailed, step-by-step guidance, we will enable your organization to confidently navigate the digital landscape of key health plan providers, including Medicaid (MES), Medicare, PECO, Palmetto, I&A, Availity, UnitedHealthcare, Sentara Healthcare, Humana Healthy Horizon, and Aetna Better Healthcare. 2.0 Scope of Services: Health Plan Portal Setup & Training TMBS will provide professional assistance and guidance for the following services: 2.1 Health Plan Portal Setup & Access Our team will facilitate the setup of your organization's provider accounts for the following health plan portals, providing a detailed, step-by-step process for each one: Medicaid (MES) Medicare PECO Palmetto I&A Availity UnitedHealthcare Sentara Healthcare Humana Healthy Horizon Aetna Better Healthcare The setup process for each portal will include: Credentialing Assistance: We will guide you through the process of obtaining and managing login credentials, including initial password setup and security best practices. System Navigation: We will provide an overview of the portal's layout, key menus, and essential functions to ensure a smooth initial experience. 2.2 Portal Training & Resources To ensure your team is proficient in using these portals, TMBS will provide in-depth training and access to resources. This service includes: On-Demand Walkthroughs: We will deliver a comprehensive walkthrough of each portal's core functionalities, focusing on the tasks most critical to your operations. Key Functionalities Covered: The training will specifically address the following functions within each portal (where applicable): Claims Submission: Guiding you on how to electronically submit claims, track their status, and address rejections. Eligibility & Benefits Verification: Demonstrating the process for checking patient eligibility and verifying plan benefits in real-time. Accessing Plan Documents: Instructing on how to locate and download provider manuals, fee schedules, and other critical plan documents. Remittance & Payment Management: Showing you how to view and download electronic remittance advice (ERA) and manage payment information.