The Provider Online Service Center allows HealthPlus network providers to access referral and claims details, view their personal HealthPlus enrollee lists and search for other health care providers online!

Appeal Process
Review our Appeals Process for health care providers Benefit Level Grids
Summary of benefits and copayments of the health benefits provided by HealthPlus. Claim Inquiry
Check on the status of your HealthPlus claims Claims Adjustment Form
Claims Adjustment Form County Health Plans
BHP, GHP & SHP directories, Benefit Summaries and more... Claims Adjustment Online Submission
Online Claims Adjustment Form DME Bulletins & Guidelines
HealthPlus DME Bulletins and Guidelines Claim Submission Guidelines
HealthPlus of Michigan provides claims processing through electronic transmission or paper submittals. EOP Inquiry
Review your "Explanation of Payment" (EOP) documentation Find a Provider
Locate a doctor or specialist using our online health care provider directory Frequently Asked NPI Questions
Frequently Asked NPI Questions Member Search
Verify a patient's HealthPlus membership online Non-Contracted Providers
General Questions/Inquiries / Reimbursement /  How to become a Contracted HealthPlus Provider Provider Manual
Contains instructions on how to utilize our services and pertinent policy and resource information!

Provider Service Center
View menus of our full range of secure online services Referral Inquiry
Check on the status of your HealthPlus referrals 2011 P4P Program Manual (pdf: 577k)
2011 HMO Primary Care Pay For Performance Program specifications  Care Plan Form
Clear Claim Connection
Contact Provider Network Management
Contact numbers for Provider Network support EOP Payment Codes
Descriptions of EOP Payment Codes HEDIS Acronym Definitions (pdf: 29k)
PCP Performance Report Guide (pdf: 377k)
The PCP Performance Reports provide an overview on key demographics, patient severity/morbidity, medical utilization, pharmacy utilization, and overall performance measures. A detailed description for the measures and reports is provided in the Instructional Guide Provider Account Registration
Complete this online form to gain access to our Secure Service Center, Report Portal and more.... Provider Disclosure Form
Provider Report Portal Help (PNG: 51k)
Report Portal Help Doc ProviderPlus Email Alert Registration Form
Register for bimonthly ProviderPlus email alerts. Red Flag Rules
The Fair and Accurate Credit Transaction Act Red Flag Rules are a product of the Fair and Accurate Credit Transaction Act (FACTA), which President Bush signed into law in December 2003.