Bethany Dumond and Rachel DeSantis June 2017 MyPHP Bethany Dumond and Rachel DeSantis June 2017

Learning Objectives Self-registration log-in and password re-sets Navigating the MyPHP web portal View and print Primary Care Physician Patient Rosters Verify Patient eligibility and coverage information View and download a Patient's benefit plan, documents and summary of benefits Search and view claims (status, amount paid, paid dates and claim history)

Learning Objectives Search, view, and print EOP’s, search by Check number Search prescription drug claims View the status of an authorization and obtain the prior authorization number View Patient's out of pocket or deductible balances Change Provider profile add addition NPI and TIN to one account

Self-Registration

Link to MyPHP! You can find the link to MyPHP on the PHP website www.PHPMichigan.com

Self-Registration

Agreement Please read the License agreement and Click Agree to proceed

Self-Registration Complete the Provider Contact form and click Add Can add more then one provider from this page if know all the information

Self-Registration After clicking add this screen will populate You will now have the opportunity to add additional groups or providers simply fill in the additional information Click Add for each additional provider When done adding providers Click Next

Self-Registration Create your Username, Password, and Security Questions and click Next Must be at least 3 characters in length and start with a letter. Characters accepted are: alpha-numeric, . (dot), - (dash), _ (underscore) and @ (at sign) Please enter your full email address, for example, name@domain.com Password: Minimum 8 characters in length. One letter, One Number and One Special Character Required Special characters accepted are -_.!#$%&*@~^\?/+

Self-Registration Complete You will receive a confirmation email once you have completed your registration

How to log in

How to log in Enter your username and password in provided box and click Submit

Navigating the Home Page

Signed in as: listed here Home Page Signed in as: listed here

Navigating the Home Page

PCP Patient Roster

PCP Patient Roster In the Coverage & Benefits tab PCP are able to obtain a PCP patient roster PHP will stop mailing Rosters after July. All Providers will be able to pull a full roster at any time on the MyPHP portal

PCP Patient Roster If you have more then one PCP under your login you will have to select which PCP provider roster you are searching To search one member enter member ID or Last name and DOB

PCP Patient Roster You are able to print or download your results into excel by clicking, “Print Results” or “Download Results”

Checking Coverage & Benefits Click the second tab in the Navigation tool bar labeled Coverage & Benefits. Click on Open Eligibility & Benefits

Coverage & Benefits From the Coverage & Benefits screen you can search by single or multiple members Single members eligibility search: enter member ID, or Last Name and DOB Multiple members eligibility search: enter all member ID’s into the Member ID(s) box and click Search

Eligibility and Benefits Click on the member name to show eligibility

Eligibility and Benefits

Eligibility and Benefits MyPHP is real time data including: The current deductible Copayment amounts Effective date/Termination date

Claims

Claims Search with Member ID Search Check Number Or search multiple claims just by entering the claim numbers in the Claim Number(s) box Now Click Search to view a list of claims

Claims A list of claims with the criteria you have entered appears. Click on the claim number to view details You are also able to download these result by Clicking Download Results

Claim Details Claim detail screen shows

Claims EOP Click on the Original EOP View to open the EOP

Claims EOP The EOP will open in a new window

Prescription Drug Claims

Prescription Drug Claims Search by Patient ID, DOB, Begin Date or End Date Or search by Claim number Once the information is entered click Search to view claim details

Prescription Drug Claims All Prescription Drug claim information will populate. Click on the RXNum to view claim details

Prescription Drug Claim Details

Prior Authorizations

Prior Authorization Search multiple Prior Authorizations at the same time, Simply push enter after each authorization number Real time data on approval or denial through portal View and print all details for the authorization

Prior Authorization Click on the Prior Authorization number that you are referencing All data will populate Dates of Authorization Servicing Provider Facility information Authorization Status

Prior Authorization

Prior Authorization

Provider Directory

Provider Directory you can search by Network and zip code these are required fields and you can narrow the search bt provider type and or specialty where to find this on the member card

Provider Directory Search for a Provider Network HMO/POS, PHP Exclusive, PPO, and TPA Provider Type Specialty Zip Code Explain network and where to find this information on the members cards

Provider Directory

Provider Directory Download the results or Print if desired

Provider Directory Click on Provider name to display details

Provider Directory For SPHN member directory there is a link to the right find the click here for In Network Physicians in the SPHN network

Facility Directory Facilities Search Network and Zip code is required Or Facility Type

Facility Directory Click on the Facility to see details

Provider Directory Details show Address Phone Number Networks Type of Facility

Quick Links

Quick Links

Quick Link Newsletter Link

Quick Links General Forms and Information

Quick Link Ask a Question These questions will be routed to a PHP representative for review

Message Response If you send a question through the Quick link tab you will get a response through the message tab

Quick Links Provider Manual

Quick Links Find a Provider or Facility

Provider Profile

Provider Profile The Profile tab allows you to update your account, security and information at anytime

Provider Profile Quick and Easy way to change your password

Provider Profile From the Profile screen you can add more then one NPI or TIN to your profile This is helpful for multiple groups under one TIN or IPA

Forgotten Password or Username

Forgotten Password or Username Password reset is quick and simple Find the forgot your username or password on the home screen

Forgotten Password or Username Enter TIN and NPI that corresponds with the account

Forgotten Password or Username Answer a few security questions

Thank you!