Tufts Health Plan Provider Portal
The Tufts Health Plan secure portal enables you to access health plan information and perform self-service transactions for your Tufts Health Plan patients, 24/7. The portal is secure, easy to use, and free! If you don’t currently use the Tufts Health Plan secure portal, we encourage you to REGISTER TODAY!
For technical assistance related to the Tufts Health Plan secure portal, please contact us at [email protected] or contact the Provider Service Center.
Perform the following transactions online:
- Verify patient eligibility and benefits
- Find the status of a claim
- Make online claim adjustments (correct claims, submit payment disputes and return funds)
- Submit referrals and check the status of specialty referrals
- Provide inpatient notification
- Submit/receive authorization
- View a patient’s personal health record (PHR)
- Access InterQual Smartsheet criteria and clinical quality management reporting
Tufts Health Plan secure portal resources
User guides
Our user guides (found in the Training section of this website) offer step-by-step guidance on a variety of common secure portal transactions, including account mangement, eligibility verification, claims status inquires, online claim adjustments, and more.
MHK guide
Inpatient notifications and prior authorization requests for outpatient services for many of our plans (Tufts Health Public Plans, Tufts Medicare Preferred, and Tufts Health Plan Commercial) are conducted in the MHK Medical Managmement system via the secure portal.