ProviderConnectSM Helpful Resources

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.

Guides

Please click on the links below to access the specific guides. Note: you will need Adobe® Flash Player and Adobe® Reader. If you do not have access to this software, you may download and install these applications on your computer.

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

The Getting Started with ProviderConnect Guide is a condensed version of the ProviderConnect User Guide but is not a substitute for the ProviderConnect User Guide. New ProviderConnect users are encouraged to use the Getting Started with ProviderConnect Guide as a way to get acclimated with the ProviderConnect application.

E-Commerce Initiative

Beacon Health Options (Beacon) network providers are expected to electronically conduct all routine transactions. Learn more

Don't Know your Provider ID?

Your Provider ID may be on file with us. Just call our National Provider Service Line at (800) 397-1630, Monday – Friday, 8 a.m.-8 p.m. ET for assistance.

Forms

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

  • Online Services Account Request (Editable Version)
  • This form authorizes Beacon Health Options (Beacon) to receive and process claims electronically and certifies that claims will comply with all laws, rules and regulations governing your contract with Beacon. 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.
  • Account Request Form for Access to Multiple Providers (Editable Version)
  • This form allows the user access to multiple Beacon’s provider identification numbers under one login once the users have completed online registration or the Online Services Account Request Form.
  • Online Services Intermediary Authorization (Editable Version)
  • 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.

Compliance Resources

Beacon is also a HIPAA-compliant organization. Under HIPAA Privacy Rule at 164.514(h) a covered entity prior to making any disclosure permitted under the privacy regulations must (1) verify the identity of a person requesting protected health information (PHI) and the authority of such person to have access to protected health information under this regulation, if the identity or any such authority of such person is not known to the covered entity. Accordingly, Beacon requires that anyone requesting access to PHI be appropriately identified and authenticated. Members and personal representatives, for example, are required to provide the member identification number or subscriber number and the member’s or subscriber’s date of birth. You or your administrative staff are identified and authenticated in a number of ways and may be asked for your federal tax identification number (TIN), your national provider identification number (NPI), or physical address as part of this verification process. Having this information available prior to making contact with Beacon will expedite your request.

The links below provide additional information regarding submitting electronic HIPAA transactions to Beacon.

ECLW Resources

EDI Resources

Webinars

  • For a listing of upcoming ProviderConnect training webinars, click here.
  • To reference one of our archived webinars, click here.

Contact

Electronic Claims Submission / EDI Helpdesk
If you have a technical question about ProviderConnect or EDI Claims Link, please contact the EDI Helpdesk
Phone: (888) 247-9311 from 8 a.m. – 6 p.m. ET
Fax: (866) 698-6032
E-mail: e-supportservices@beaconhealthoptions.com

Mailing Address:
Beacon Health Options
Attn: EDI Helpdesk
PO Box 1287
Latham, NY 12110