Welcome to Your Provider Portal

The Provider Portal allows Providers to submit authorizations and claim requests directly into the claims processing system. It allows you to inquire on the status of an authorization or a claim as well as verify member eligibility.  For those set up with EFT payments, remittance advices are available for view and/or download.  In addition, you can look up procedure codes or diagnosis codes and other general reference information.  Additional functionality can be reviewed in the Provider Portal User Guide below.

You can access this Training presentation as a quick guide for you to start using the Provider Portal.

For any other questions or support on the Provider Portal, send an email to eznetsupport@allyalign.com

Be sure to include the following in your email:

--> Your Full Name

--> Provider(s) or Vendor(s)/Group(s) you are affiliated with

--> EZ-NET Provider Portal Username, if you have one

--> Phone Number you can be reached

--> A full description of your question or issue

--> If applicable, a screen print that displays the message you are getting from the EZ-NET Provider Portal


Electronic Claim Submission

Providers can submit claims through their clearinghouse and receive electronic remits.  Please contact your clearinghouse to request the Payer ID if not shown on your clearinghouse payer list.  If your clearinghouse has any questions, please have them contact Exchange EDI helpdesk directly at 888-635-0009 Option 2.    

Note: This helpdesk does not provide EZ-NET support, instead, 

contact eznetsupport@allyalign.com

Part D Prescription Drug Benefit

Navitus Health Solutions is the plan's pharmacy benefit manager responsible for administering Part D.  Formulary and Prior Authorization Forms can be accessed at https://prescribers.navitus.com/logon.aspx. For additional support or questions, contact the Navitus Pharmacy Solutions Helpdesk at: 866-270-3877, TTY 711.

EZ-NET v6.5.6