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Provider portal

24/7 access to eligibility, benefits, authorizations and more.

Noncontracted provider resources

Below is important information and resources for noncontracted providers.

Access to online applications

  • Noncontracted providers can access the secure online portal for member eligibility, claims and remittance advices.
  • To set up an account, go to our log in page, select "Providers", then "Register" and follow the prompts.

Clinical Criteria

Click here to view our referrals, authorizations, and clinical criteria.

Outpatient medical services prior authorization requests

  • Noncontracted providers are required to obtain authorization for all services except emergency. Prior authorization is not a guarantee of payment.
  • To request authorization, complete our form or you can call (313) 664-8950, option 1.

Important Information  for Non-Contracted Providers