General

Submit a request

• I am with a provider office
• I am with a health plan
• I am a broker or agent

Data Products Documentation

• Network and Insurance Plan Data File Specification
• Relational Extract - General Information
• SFTP Data Transfer
• Provider Demographic Data File Specification

CIM Product Announcements

• Service Dates Now Available on Pre-Authorizations
• New Notes: Features and Functionality
• New Note Task Feature
• New notes table view
• Member Search layout updates
• DMAP Line Search: Now Features OHA Guidelines

See all 33 articles

HELP CENTER & CIM Documentation

• Provider Manual for Care Types
• PHA Medicaid Provider Portal Access Instructions
• HELP CENTER Welcome Guide
• YCCO BH CIM Training
• PHA Medicaid Provider Training Resources
• Provider Portal Registration for All Other Users

See all 22 articles

Provider EDI & Electronic Claims

• EDI Submitter Checklists
• DCO to CCO Integration - DCO Enrollment and Billing for PH Tech Customers
• 270/271 Companion Guide
• Program Tags/Location Info
• EDI Payor ID List
• User Guide: SFTP Web Portal

Paper & Online Claim Submission

• Online Claim Creation & Submission Access
• Online Claim Entry
• Online Claim Search & Editing
• Paper Claim Submission Guidance
• Paper Claim Submission - Plan Address List