ProviderConnect Helpful Resources

Log on or register with ProviderConnect to take advantage of our online services

Log on or register with ProviderConnect to take advantage of our online services. ProviderConnect makes routine tasks such as processing claims, obtaining claims information, and verifying eligibility status easy and convenient.

Need Help?

The ProviderConnect Users Guide outlines the steps to using the various functions within ProviderConnect. Providers are encouraged to carefully review the ProviderConnect Users Guide to help answer any questions on how to use the ProviderConnect application.

Please click on the ProviderConnect Users Guide link above to access the specific sections within the guide. Please note, you will need Adobe® Flash Player and Adobe® Reader to view the ProviderConnect Users Guide. If you do not have access to this software, you may download and install these applications on your computer.

Call the EDI Help Desk at (888) 247-9311 and press option 3, Monday through Friday, 8 a.m. – 6 p.m. EST. A staff member will walk you through the entire process.

Don't Know your Provider ID?

Your Provider ID is on file with us. Just call our National Provider Line at (800) 397-1630, Monday – Friday, 8:30 a.m. – 5 p.m. EST for assistance.

Claims Resources

Guide to Using Single Claim Submission (PDF)

Use this as a reference tool to assist you with Single Claim Submission.

Forms

Providers must obtain a User ID before using Online Services. To accomplish this, the following forms must be completed.

Online Services Account Request Form (PDF)

This form authorizes ValueOptions to receive and process claims electronically and certifies that claims will comply with all laws, rules and regulations governing your contract with ValueOptions. Providers who wish to have inquiry-only access to our system for the purpose of conducting eligibility inquiries and claim status inquiries must also submit this form. All online services users must complete this form.

Online Services Intermediary Authorization Form (PDF)

This form authorizes an external entity such as a billing agent or clearinghouse to submit claims on the provider's behalf. This form must be completed only if the provider utilizes the services of a billing agency, clearinghouse or other third party.

HIPPA Resources

HIPAA Resources and Software Downloads

For Claims Submission the EDI (Electronic Data Interchange) Claims Link for Windows® application provides a method for providers or their designated representatives to submit HIPAA compliant electronic claims to ValueOptions.

ProviderConnect is A ValueOptions® Web Site