1. User Guide for the Provider Portal How to Register for the Portal How to Add and Delete Users to the Portal How to Change Users Passwords How to look up Member Eligibility How to look up Claims & Remittance

2. How to Register for the Provider Portal 1.Go to the HealthyCT website, www.healthyct.org, and click “Providers.”www.healthyct.org 2.Select “Provider Log-in.” 3.To register for the Provider Portal, select “Select Here” next to “Are you a New Healthcare Provider”? 4.In the “How may we contact you?” box, fill out how you would like HCT to contact you. This information is stored in the Provider Portal only. 5.In the “Provider Information” box, fill out exactly how your information is recorded at HealthyCT. a.If you receive an error message, please make sure all the information is filled in correctly in the “Provider Information” box. b.If everything looks correct to you and you are still receiving the error message, contact HealthyCT at 1-855-208-1641 6.Enter in the Employee information that you would like to appear in the Portal. 7.Enter in all the Employee login information for the Provider Portal. 8.Once you receive your Approval message, select “Done”. 9.When you log in for the first time you will have to accept the terms and conditions.

3. How to Register for the Provider Portal 3. To register for the Provider Portal, select “Select Here” next to “Are you a New Healthcare Provider”? 2. Select “Provider Login”

4. How to Register for the Provider Portal 4.In the “Provider Information” box, fill out exactly how your information is recorded at HealthyCT. 5.In the “How may we contact you?” box, fill out how you would like HCT to contact you. This information is stored in the Provider Portal only.

5. How to Register for the Provider Portal 5a. If you receive an error message, please make sure all the information is filled in correctly in the “Provider Information” box. 5b. If everything looks correct to you and you are still receiving the error message, contact HealthyCT at 855-208-1641.

6. How to Register for the Provider Portal 8. Once you receive your Approval message, select “Done”. 9. When you log in for the first time you will have to accept the terms and conditions. 6. Enter in the Employee information that you would like to appear in the Portal. 7. Enter in all the Employee login information for the Provider Portal.

7. Add User 1.From the left hand side menu, select “Administration” and then select “User List” from the drop down. 2.If you do not see the user you want to add in the list, select “Add user” on the right hand side. 3.Select “Provider Employee” in the “User List” screen, and select “Next”. 4.In the “Provider Employee” screen, if you do not see the person you would like to add, select “Add Employee”. 5.In the “Add Provider Employee” screen, record the person’s information and select “Submit”. 6.You are now brought back to the “Provider Employee List” screen. Choose the link “Select” next to the person's name that you would like create a user account for. 7.In the “Add User” screen, add in all the required information. This will be the information that the person will use to log into the portal. Then select “Submit”. Delete User 1.Select User List from the left side menu. 2.Select “Delete” next to the user you would like to delete from access the Provider Portal. 3.Review the user you would like to delete. Select the “Delete” button at the bottom of the screen How to Add and Delete Users to the Provider Portal

8. View Member Eligibility Add Users to the Account Delete Users from the Account Change Users Passwords Provider Roles Provider Admin - Default Provider User View Claims

9. Provider Portal Home Screen Provider who is logged into the Portal. Sign out of the Portal. Portal Menu - Navigation Useful tools for HealthyCT providers. HealthyCT’s Medical Criteria.

10. List of people that are registered and able to log into with this Provider Portal. Manage your account, login name/password/email. Look up HealthyCT member eligibility, you will need members DOB and Id Number. Look up Claims that are associated with the Provider that is registered for the current portal account. Look up Remittance that are associated with the Provider that is registered for the current portal account. Phone numbers for contacting HealthyCT. Menu Navigation Legend

11. 1.From the left hand side menu, select “Administration” and then select “User List” from the drop down. 2.If you do not see the user you want to add in the list, select “Add user” on the right hand side. How to Add and Delete Users to the Provider Portal

12. 3.Select “Provider Employee” in the “User List” screen, and select “Next”. 4.In the “Provider Employee” screen, if you do not see the person you would like to add, select “Add Employee”. How to Add and Delete Users to the Provider Portal

13. 5.In the “Add Provider Employee” screen, record the person’s information and select “Submit”. 6.You are now brought back to the “Provider Employee List” screen. Choose the link “Select” next to the person's name that you would like create a user account for. How to Add and Delete Users to the Provider Portal

14. 7.In the “Add User” screen, add in all the required information. This will be the information that the person will use to log into the portal. Then select “Submit”. How to Add and Delete Users to the Provider Portal

15. 1.Select User List from the left side menu. 2.Select “Delete” next to the user you would like to delete from access the Provider Portal.

16. How to Add and Delete Users to the Provider Portal 3. Review the user you would like to delete. Select the “Delete” button at the bottom of the screen.

17. How to Look up Member Eligibility 1.From the left hand side menu, select “Patient”. 2.From the drop down select, “Member Eligibility”. 3.In the Member Eligibility screen, put in the member’s date of birth and HealthyCT Id number. 4.It is always best to select “Yes” from the drop down for “Include Ineligible”. 5.Select “Search”. 6.You will see a the member(s) that you are looking for. a.If the member is in the box “Not Found” box, this means the member is not found at all in our system regardless of effective dates. b.If the member is in the box “Ineligible” box, this means the member is not eligibility for the Eligible as of Date (located in the search screen). 7.If you would like to see the members benefits, select the hyperlink (underlined) benefit in the “Policy Benefit Name” column.

18. How to Look up Member Eligibility 1.From the left hand side menu, select “Patient”. 2.From the drop down select, “Member Eligibility”. 3.In the Member Eligibility screen, put in the member’s date of birth and HealthyCT Id number. 4.It is always best to select “Yes” from the drop down for “Include Ineligible”. 5.Select “Search”.

19. How to Look up Member Eligibility 6.You will see a the member(s) that you are looking for. a.If the member is in the box “Not Found” box, this means the member is not found at all in our system regardless of effective dates. b.If the member is in the box “Ineligible” box, this means the member is not eligibility for the Eligible as of Date (located in the search screen). 7.If you would like to see the members benefits, select the hyperlink (underlined) benefit in the “Policy Benefit Name” column.

20. How to Change Your Password 1.Select “User Profile” from the left hand side menu. 2.Change your password in the “Change Password” box. a.You need to know your old password in order to create a new one. 3.Select “Submit”. How to Reset a Users Password 1.Select “User List” from the left hand side menu. 2.Select the users hyperlinked name from the list. 3.Select “Reset Password”. 4.Select “Reset Password” on Reset Password screen. 5.A new temporary password appears next to “New Password” 6.Select “Submit” 7.An email is sent to the email address associated with that user with the temporary password. 8.User needs to log into the Portal with the temporary password. 9.When the user logs in for the first with the temporary password they will be prompted to create a new password. How to Change Passwords

21. 1.Select “User List” from the left hand side menu. 2.Select the users hyperlinked name from the list. Testing

22. How to Change Passwords 3.Select “Reset Password”.

23. How to Change Passwords 4.Select “Reset Password” 5.A new temporary password appears next to “New Password” 6.Select “Submit”

24. How to Change Passwords Email Sent 7.An email is sent to the email address associated with that user with the temporary password. 8.User needs to log into the Portal with the temporary password. 9.When the user logs in for the first with the temporary password they will be prompted to create a new password. Testing

25. How to Change Passwords

26. 1.From the left hand side menu, select “Claim Status Search”. 2.You can search by any of the fields. a.You must at the very least select from the “Claim Type” drop down (Institutional or Professional). 3.From the “Claim Status List” screen, you will see all the claims that are related to your search criteria. 4.You can select the Claim Number (if available) to see the claim details. a.From this screen at the bottom, you can also select “RA Search” to search from Remittances. 5.From the “Claim Detail” screen you can see all the details that are associated with the claim. a.If there is an EOP available for the claim, you can view the details by selecting “View Payments” from the bottom right hand side. 6.After selecting the “View Payments” link, you are brought to the “Remittance Advice Search” screen. 7.At the bottom of the screen, select the Check/EFT number to view the check details. a.You can also get to this screen by selecting the “Remittance Advice Search” tab from the left hand side menu. 8.On the “Remittance Advice Detail” screen, you can view all the details from the check. How to Look up Claims and Remittance

27. 1.From the left hand side menu, select “Claim Status Search”. 2.You can search by any of the fields. a.If you must at the very least select form the “Claim Type” drop down (Institutional or Professional).

28. How to Look up Claims and Remittance 3.From the “Claim Status List” screen, you will see all the claims that are related to your search criteria. 4.You can select the Claim Number (if available) to see the claim details. a.From this screen at the bottom, you can also select “RA Search” to search from Remittances. 111111111

29. How to Look up Claims and Remittance 5.From the “Claim Detail” screen you can see all the details that are associated with the claim. a.If there is an EOP available for the claim, you can view the details by selecting “View Payments” from the bottom right hand side.

30. How to Look up Claims and Remittance 6.After selecting the “View Payments” link, you are brought to the “Remittance Advice Search” screen. 7.At the bottom of the screen, select the Check/EFT number to view the check details. a.You can also get to this screen by selecting the “Remittance Advice Search” tab from the left hand side menu. 1111

31. How to Look up Claims and Remittance 8.On the “Remittance Advice Detail” screen, you can view all the details from the remit.