New Claims System Update

To download a copy of Utilization Management Portal FAQ, click here.

  • Submit authorization request electronically
  • Check the status of an existing request
  • Download letters and approvals
  • Check Eligibility
  • Available to Network and
    Non-Network providers
  • Portal Registration

    Needed information to register:

  • Provider Name
  • First & Last Name
  • Title
  • Provider NPI
  • Practice Name
  • Email Address
  • Cell Number
  • Phone Number
  • Email registration response within 24 hours

    Note: For optimal experience use Google Chrome. It is also recommended to clear the cache on a regular basis (browsing history). We understand there may be extenuating circumstances where electronic submission may not be possible. If your system does not allow for online submission, please contact our office.

    How To Submit & Check Status of an Authorization Request

    Fax Electronic - Portal Turn Around Times
    (281) 405-3431 Provider Portal Standard - up to 14 days
    Urgent - up to 72 hours
    Prior Auth Form Note: Portal submission is the preferred method of submission when requesting prior authorization. Add 72 hours to turn around time for request submitted by fax for the standard request
    How to Check Status of an Authorization User Guide
    Utilization Management Services: (281) 591-5289
    Problems with the Portal, submit a web-ticket (not for authorization request)
    For Amerigroup & SCAN Health, Prior Authorization tool can be used to determine authorization requirements

    **This tool is NOT a guarantee of coverage**