Provider News and Updates
October 16, 2024
Providence Health Plan Provider Portal Update
Effective 12/31/24 Providence Health Plan will be changing the way you access our provider portal, ProvLink, from OneHealthPort to Availity Essentials Single Sign-On (SSO).
Providence Health Plan will transition to the Availity Essentials SSO effective 12/31/24. You will need to have an Availity Essentials account to continue to access ProvLink after this date. If you do not have an Availity account, you can begin the sign-up process here. Your experience in ProvLink - including the site's functions and features - will go unchanged through 2025, as we prepare a full transition to Availity Essentials.
Are you brand new to Availity Essentials?
The first step to getting started with Availity Essentials is to designate an Availity Essentials Administrator for your organization. Your Administrator is the person responsible for registering your organization in Availity Essentials and managing user accounts. This person should have legal authority to sign agreements on behalf of your organization. Register and Get Started with Availity Essentials.
Frequently Asked Questions
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When will Providence Health Plan OneHealthPort SSO switch over to the Availity SSO?
On 12/31/24, Providence Health Plan will fully transition to the Availity SSO.
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When will I start using the Availity SSO?
Beginning 1/1/25, providers must log-in using the Availity SSO.
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How do I sign-up for the Availity SSO?
Click here to get started: Register and Get Started with Availity Essentials.
For additional information:
- I am (or will be) the designated Administrator for my organization.
- I am not (or will not be) the designated Administrator for my organization.
- Your designated Administrator will determine who needs access to Availity Essentials on behalf of your organization and will create user accounts for those individuals.
- I am not sure who is (or will be) the designated Administrator for my organization.
- Share this information with your manager to help determine who will be the designated Administrator for your organization.
- I am (or will be) the designated Administrator for my organization.
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What if I already use Availity?
If you’re already working in Availity Essentials, simply log in to your existing Essentials account starting on 12/31/24 to access ProvLink.
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Will this affect claims processing?
No, the transition to the Availity SSO will not disrupt claims processing. All claims will continue to process as is.
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Will I be able to access claims and EOP(s)?
Yes, ProvLink will continue to exist, and providers will still have access to claims and EOP(s).
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Will there be any changes to CareAdvance (prior authorization submission tool)?
No, there will be no changes to CareAdvance. You will still be able to access CareAdvance through ProvLink.
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How do I access OHP/Medicaid member information?
Continue to use the CIM platform with Ayin.
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Additional Information
- For questions about ProvLink, please contact your Providence Health Plan Behavioral Health Network Provider Relations Representative, or Provider Relations Representative, or call 503-574-7500 or 800-878-4445 (TTY: 711).
- For questions about Availity, please contact Availity Client Services at 1-800-AVAILITY (282-4548).
March 1, 2023
Two Benefit Managers Are Changing Their Name
Effective March 1, 2023, American Imaging Management/AIM Specialty Health and Beacon Health Options changed their names to Carelon. AIM transitioned to Carelon Medical Benefits Management, and Beacon Health Options transitioned to Carelon Behavioral Health.
What’s not changing?
- There will be no changes to current processes
- The behavioral health claims address on your ID card has not changed
- PO Box 1850, Hicksville, NY 11802-1850
- You will not receive a new ID card at this time
- Any claims sent to Beacon Health Options will still be valid
What’s changing?
- This transition is a name and branding change only
- When sending any behavioral health claims by mail, you will now address them to Carelon Behavioral Health (instead of Beacon Health Options)
- Wherever you used to see AIM or Beacon referenced, you will now see Carelon
If you have questions about this change, call us at 800-878-4445.