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Welcome To IntegraNet's
Online Claims & Utilization Management Provider Portal

While our role is advocacy, our mantra is fairness, and we are proud to have a 27-year provider track record of making managed care less burdensome for both patients and providers.
Services available through this portal include:
  • Filing online individual claims
  • Claim Status
  • Request an Explanation of Payment (EOP)
  • Requesting an authorization
  • Authorization status
  • Locate an In-Network Provider near your practice or a member/patient's home

Ensuring Appropriate Services and Coverage

In conjunction with our health plan partners, IntegraNet Health is committed to covering our mutual plan member's care and encourage appropriate use of healthcare services. Physicians and IntegraNet clinical staff who make utilization-related decisions must comply with the following policies.
  • Utilization management decisions are based on appropriateness of care, services, and existence coverage.
  • IntegraNet Health does not compensate physicians, providers, or other individuals conducting utilization review for denials of coverage or services.
  • IntegraNet Health does not provide financial incentives for utilization management decision-makers to encourage decisions that result in under-utilization.