TOOLS & RESOURCES

The resources you need to work with us

We’re here to support you. That’s why we’ve gathered the important tools and resources you’ll need as you provide quality care to our members.

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Benefits, eligibility and claims

Availity is our secure provider portal, which makes it easy for you to do business with us. The system is available 24/7, offering faster prior authorizations, claims decisions and more.

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Benefits, eligibility and claims

Availity is our secure provider portal, which makes it easy for you to do business with us. The system is available 24/7, offering faster prior authorizations, claims decisions and more.

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EFT and ERA enrollment

CAQH EnrollHub is an online system that simplifies and streamlines the electronic funds transfer (EFT) and electronic remittance advice (ERA) enrollment processes for providers and payers — helping improve administrative efficiency and save time.

LAUNCH ENROLLHUB
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Reconsiderations and appeals

If you disagree with a claims outcome or denial, you can ask us to reconsider our decision. Please see our Provider Administration Manual for additional information.

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Learn about care management

Our care management program offers compassionate and effective care coordination and support services. You can learn more about this program in the Management section of our Provider Administration Manual.

SEE MANUAL
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Don’t see what you need here?

We've gathered all the claim forms, medication lists and other information you might need in one convenient place.

Find document icon

Don’t see what you need here?

We've gathered all the claim forms, medication lists and other information you might need in one convenient place.

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Our latest news and updates

Learn what’s new at Shared Health Mississippi, from everyday business processes to larger health care initiatives.

SEE NEWS & UPDATES