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MedHOK’s Provider Portal Solution

Provider Portal Solution

Solution Overview

MedHOK offers a fully integrated Provider Portal module that works in conjunction with the modules used by the health plan. The Provider Portal easily allows providers to manage their patient population by being able to quickly view a complete picture of their patients’ care, including care gaps that need to be addressed. They can also submit prior authorization requests, and attach required documentation. Once submitted, providers can see the status of prior authorizations and also submit an appeal including attaching supporting documentation for denied services. Perhaps most importantly, the Provider Portal offers another quick and efficient mode for bi-directional communication between the plan and the provider.

Customers use the solution to:

  • Enable improved communications and collaboration with providers
  • Share member clinical information to guide the care management process
  • Facilitate common processes in a simplified and structured process

Have You Considered …

With Provider Portal, you may also want to manage related functionalities on one platform to ensure compliance, improve efficiency and productivity, and deliver better quality care. Consider adding these MedHOK solutions:

Utilization Management
Provider Disputes
Pharmacy Appeals


Ensure compliance with MedHOK’s Unified Payer Platform, built from the ground up to be compliant from day one


Compliant and consistent handling of appeals, grievances and complaints can result in improved Star ratings, provider relationships, and member satisfaction


Automatic workflows based on industry best practices ensure cases are processed consistently and correspondence is triggered automatically

Request a Demo

Why do more than half of MedHOK’s clients use the Provider Portal solution?

Our clients represent some of the nation’s largest and most prestigious health plans, PBMs, Specialty Pharmacies, and other payers. See for yourself why they rely on the MedHOK Unified Payer Platform for a Provider Portal. Please complete the form and let us know which capabilities you would like to see. One of our demo specialists will contact you to schedule your custom demo

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