Provider and member portals

2026-11-03

A vendor will provide a secure medical provider portal to support provider claim ( header and line level ), eligibility and benefit inquiries . The secure site will require provider registration to access the site , managed by the health plan . The portal will provide current claims status reporting and support all required X12 transactions . The provider portal may include but is not limited to the following features : • eligibility status • claims submission and status ( pended and finalized ) • provider prior authorization management • secure messaging and notifications • ability to update provider directory / demographics • access to member benefits and clinical practice guidelines • eForm capabilities • claims remit the provider can download and print , including at a line level • alert notifications ( targeted or mass )

Minnesota

2026-04-29