Welcome to Your EZ-NET Portal

To view 2024 provider system change updates, click here


**Alert: Beginning 1/1/2024 the EZ-NET Portal will have limited functionality due to system migration. Please note the following important information:

   * EZ-NET will only allow the submission of Professional (CMS-1500) claims.

   * ONLY 2023 Dates of Service can be submitted.

   * Claims with Dates of Service 1/1/2024 and on will need to be submitted via the new Provider Portal. 

Please refer to the link above or the plan website for additional information surrounding the system migration and to review commonly asked questions.


EZ-NET allows Providers to view authorizations and submit claim requests directly into the claim processing system.  It allows you to inquire on 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 User Guide below.

You can access the training presentation as a quick guide for you to start using the EZ-NET Portal.


For any other questions, password resets, or support on the EZ-NET Portal, send an email to eznetsupport@allyalign.com. Alternatively, you may use the Contact Us tab on the EZ-NET homepage.


Be sure to include the following in your email:

  Your Full Name

  EZ-NET Portal Username, if you have one

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

  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 Portal
 
 
 
 

Electronic Claim Submission


***EFFECTIVE 4/1/2021***

Claims and remittance advices can be submitted and retrieved electronically through your existing clearinghouse or billing company. You do not need to enroll for electronic claims submission, however, to receive an 835, one of the following must occur.


  1. Submit a claim electronically. If the NPI is not already flagged for 835, the payer customer support will be notified by EDI that the provider wants to receive 835. This process will take 24 hours for the 835 indication to be flagged, and

  2. The clearinghouse or billing company can notify the EDI technical support desk via email that the provider wants to receive 835s. The technical support desk will notify the payer customer support in advance of receiving the claims. HelpDesk_Dallas@ssigroup.com.  

    • If you are using a clearinghouse or billing company, notify them that you wish to submit claims electronically and retrieve remittance advice for the Plan. You can provide the Plan Payer ID but be aware that each clearinghouse or billing company may have their own unique naming convention for payer IDs. If the clearinghouse or billing company has any questions related to electronic claim submission, they can call our technical help desk directly at  800-356-0092. (For EZ-NET password resets, please send an email to eznetsupport@allyalign.com.)
    • If you do not use a clearinghouse or billing company, you can use the EZ-NET Provider Portal for online submission of professional (CMS-1500) claims only. Institutional claims (UB-04) cannot be submitted in the EZ-NET portal.
    • Claims with 2024 dates of service cannot be submitted in the EZ-NET portal. Please refer to the plan website for where and how to submit 2024 dates of service claims.
    • For ease of processing payment, electronic claims are preferred; however, if you are unable to send us a claim electronically. Please mail it to:
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.


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and response times may vary due to volume, system performance and other factors.Technology provided by Citra Health Solutions.
EZ-NET v6.6.3