HEALTHsuite Advantage™eHealthsuite™ Member Portal / Provider Portal

Engaging your Providers and Members with innovative self-service portals

Providers and Members demand a variety of self-service functions from their health plan. At the same time, plans have the opportunity to reduce customer service staff and expenses offering these features via the Internet. eHealthsuite and HEALTHsuite Advantage share the same database, simplifying our solution architecture and ensuring timeliness of your data.

Built to meet the needs of our government sponsored healthcare clients (MA / MD / SNP), HEALTHsuite Advantage and eHealthsuite operate in tandem to provide your Providers and Members the ability to go beyond accessing their information – they are empowered to conduct real-time transaction processing through a secure Internet connection, extending your interaction with your constituents to 24/7. Best of all, these portals are white-labeled, so you can add key elements of your brand to make the portal look and feel like an extension of your website.

The eHealthsuite member portal enables your members to:

Verify member eligibility
Check claims status
Update demographic data
View their claims and Rx history
Verify Covered Services
Check to see what services cost – do they have copay or deductible
Request an authorization/referral
View the status of authorizations
Request an ID Card
Search for/select providers
Plus many other transactions

The eHealthsuite provider portal enables your providers to:

Verify member eligibility
Check claims status
Update demographic data
View patient history
Verify covered services
Check to see what services cost – and how they will be reimbursed
Request and authorize services
View the status of authorizations
Submit and view claims
Plus many other transactions

Providers and Members will appreciate the ability to adapt plan communications from the portals based on their unique preferences, while the plan tailors specific broadcast messages delivered to your Providers and Members upon access.

Built with the highest levels of security and flexibility in mind

Our eHealthsuite Provider and Member portals are secure and HIPAA compliant, employing the most advanced security and encryption protocols. Our portals put your plan in the driver’s seat— you decide which transactions and features you will make available; how these features will be used and how they represent your plans’ brand.