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Time to Review
Your Provider Portal Users

July 2023

Mid adult female doctor reviews her patient's records on her computer in her office.
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TABLE OF CONTENTS

Ensure Only Authorized Users Can View Protected Information

What Should You Do If You Are Not the Administrator/Office Manager Or Practice Maintenance User?

How Are Users Set Up And Managed?

Need Help?

Ensure Only Authorized Users Can View Protected Information

Thank you for caring for our members.

 

As an assigned provider portal Administrator/Office Manager or practice Maintenance User, you have direct control over who can use our provider portal and who can see your members’ protected health information (PHI).

 

To support HIPAA compliance, we ask that you take a few minutes to review the User Management section of our provider portal (found under the More menu option in the top right corner of the screen).

 

In the User Management section you can:

  • Deactivate providers and staff who are no longer with your organization.
  • Confirm users are assigned to the correct roles and providers to ensure they can only view information that meets HIPAA’s minimally necessary standards.
  • Create accounts for those who are still using the phone and fax as part of their workflows.

Recent Portal Updates

Please make sure your portal users know:

  • We increased the size limit for the documents you can attach to a preauthorization transaction from 4 MB to 25 MB.
  • We started enhancing our utilization management processes. In some cases, we may be able to deliver a faster decision on your initial preauthorization request when you use the Submit Request button on the new screen. Using our portal can help reduce or eliminate the number of follow-up communications currently needed to make an informed medical necessity determination.

Review EmblemHealth Users

 

Review ConnectiCare Users

What Should You Do If You Are Not the Administrator/Office Manager Or Practice Maintenance User?

If you are not the right person to manage portal users, you can easily set up someone else to replace you in this new role and have them change your permissions to the correct role. 

How Are Users Set Up And Managed?

We have videos and guides on our website with step-by-step instructions on how to add, remove, and manage users.

EmblemHealth: emblemhealth.com/providerportaltraining

ConnectiCare: connecticare.com/providerportaltraining

Need Help?

Our Provider Customer Service teams are here for you, Monday through Friday, 8 a.m. to 6 p.m.

EmblemHealth: 866-447-9717

ConnectiCare Commercial: 860-674-5850 or 800-828-3407

ConnectiCare Medicare: 877-224-8230

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Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.

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