Discover MyPHP: A Comprehensive Guide to Using the Patient Portal

Dive into the world of MyPHP with step-by-step instructions on self-registration, navigating the web portal, viewing patient information, accessing benefits and claims, and much more. Learn how to make the most out of this platform for managing your healthcare needs efficiently.

• MyPHP
• Patient Portal
• Healthcare Management
• User Guide
• Provider Contact

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1. MyPHP Bethany Dumond and Rachel DeSantis June 2017

2. 2

3. Learning Objectives Self-registration log-in and password re-sets Navigating the MyPHP web portal View and print Primary Care Physician Patient Rosters Verify Patient eligibility and coverage information View and download a Patient's benefit plan, documents and summary of benefits Search and view claims (status, amount paid, paid dates and claim history) 3

4. Learning Objectives Search, view, and print EOP s, search by Check number Search prescription drug claims View the status of an authorization and obtain the prior authorization number View Patient's out of pocket or deductible balances Change Provider profile add addition NPI and TIN to one account 4

5. Self-Registration 5

6. Link to MyPHP! You can find the link to MyPHP on the PHP website www.PHPMichigan.com 6

7. Self-Registration 7

8. Agreement Please read the License agreement and Click Agree to proceed 8

9. Self-Registration Complete the Provider Contact form and click Add 9

10. Self-Registration After clicking add this screen will populate You will now have the opportunity to add additional groups or providers simply fill in the additional information Click Add for each additional provider When done adding providers Click Next 10

11. Self-Registration Create your Username, Password, and Security Questions and click Next 11

12. Self-Registration Complete You will receive a confirmation email once you have completed your registration 12

13. How to log in 13

14. How to log in Enter your username and password in provided box and click Submit 14

15. Navigating the Home Page 15

16. Signed in as: listed here Home Page 16

17. Navigating the Home Page 17

18. PCP Patient Roster 18

19. PCP Patient Roster In the Coverage & Benefits tab PCP are able to obtain a PCP patient roster 19

20. PCP Patient Roster If you have more then one PCP under your login you will have to select which PCP provider roster you are searching To search one member enter member ID or Last name and DOB 20

21. PCP Patient Roster You are able to print or download your results into excel by clicking, Print Results or Download Results 21

22. Checking Coverage & Benefits Click the second tab in the Navigation tool bar labeled Coverage & Benefits. Click on Open Eligibility & Benefits 22

23. Coverage & Benefits From the Coverage & Benefits screen you can search by single or multiple members Single members eligibility search: enter member ID, or Last Name and DOB Multiple members eligibility search: enter all member ID s into the Member ID(s) box and click Search 23

24. Eligibility and Benefits Click on the member name to show eligibility 24

25. Eligibility and Benefits 25

26. Eligibility and Benefits MyPHP is real time data including: The current deductible Copayment amounts Effective date/Termination date 26

27. Claims 27

28. Claims Search with Member ID Search Check Number Or search multiple claims just by entering the claim numbers in the Claim Number(s) box Now Click Search to view a list of claims 28

29. Claims A list of claims with the criteria you have entered appears. Click on the claim number to view details You are also able to download these result by Clicking Download Results 29

30. Claim Details Claim detail screen shows 30

31. Claims EOP Click on the Original EOP View to open the EOP 31

32. Claims EOP The EOP will open in a new window 32

33. Prescription Drug Claims 33

34. Prescription Drug Claims Search by Patient ID, DOB, Begin Date or End Date Or search by Claim number Once the information is entered click Search to view claim details 34

35. Prescription Drug Claims All Prescription Drug claim information will populate. Click on the RXNum to view claim details 35

36. Prescription Drug Claim Details 36

37. Prior Authorizations 37

38. Prior Authorization Search multiple Prior Authorizations at the same time, Simply push enter after each authorization number Real time data on approval or denial through portal View and print all details for the authorization 38

39. Prior Authorization Click on the Prior Authorization number that you are referencing All data will populate Dates of Authorization Servicing Provider Facility information Authorization Status 39

40. Prior Authorization 40

41. Prior Authorization 41

42. Provider Directory 42

43. Provider Directory 43

44. Provider Directory Search for a Provider Network HMO/POS, PHP Exclusive, PPO, and TPA Provider Type Specialty Zip Code 44

45. Provider Directory 45

46. Provider Directory Download the results or Print if desired 46

47. Provider Directory Click on Provider name to display details 47

48. Provider Directory For SPHN member directory there is a link to the right find the click here for In Network Physicians in the SPHN network 48

49. Facility Directory Facilities Search Network and Zip code is required Or Facility Type 49

50. Facility Directory Click on the Facility to see details 50

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