Provider Portal

WMI's Provider Portal allows providers to verify claim submissions, review claim and payment status, locate and print Explanations of Benefits ("EOBs"), and view current member eligibility. Provider understands and agrees that member eligibility is not guaranteed and may change (even retroactively) depending on premium payment, continued eligibility, medical necessity and/or actions or requests of the member. Member eligibility and benefit payment is not guaranteed.

Steps:

1. Complete and submit the Provider Registration Form (below). Allow up to 48 hours for account creation and set-up.
2. Once you receive notice that your account is established, return to this webpage and enter the WMI Provider Portal by selecting this Provider Portal Link. (Provider Portal Tutorial & FAQ)
3. Enter your User ID and Password and you will be directed to the claim portal. Enter the member's name and other required information and you will have access to the claim status information and documentation (for your Tax ID only).

Troubleshooting:

The WMI provider portal requires Internet Explorer, Microsoft Edge or Google Chrome. If the drop-down menu isn't visible, go to "Tools" (top right corner), select the "Compatibility View Settings" and add "Trizetto.net" in the "Add this Website" box. Close that window, select "Claims," and the drop-down menu should appear.