Provider Portal Benefits

Envolve Dental’s Web Portal allows providers to manage benefit administration via a host of web-based services. By utilizing the Provider Web Portal, providers see the following benefits:

• Lower administrative and participation costs
• Faster payment through streamlined claim and authorization submission processes
• Ability to review member information, claim and authorization history and payment records at any time; access is available 24 hours a day, 7 days a week

A web browser, a valid user ID and password are required for online access. From the Provider Web Portal, providers and authorized office staff can log in for secure access anytime from anywhere and handle a variety of day-to-day tasks, including:

• Verify member eligibility and check patient treatment history
• Set up office appointment schedules automatically verifying eligibility and prepopulate claim forms for online submission
• Submit claims and authorizations by simply entering procedure codes, relevant tooth numbers, etc.
• Send electronic attachments, including digital X-rays, EOBs and treatment plans
• Check the status of in-process claims and authorizations, or review historical payment records
• Review provider clinical profiling data relative to peers
• Download and print provider manuals
• Participate in provider surveys to rate satisfaction with Envolve Dental

The Envolve Dental Provider Web Portal allow us to maintain our commitment of helping you keep your office costs low, access information efficiently, get paid faster and submit claims and authorizations electronically.