1. Due to the recent updates on 10/3/26, ALL USERS should clear their cache and cookies prior to their initial login. Then restart your browser after clearing the cache and cookies. This will help resolve most issues, if you are having trouble submitting authorizations.


2. We are aware of an issue regarding searching for authorizations utilizing the ALL COMPANIES option. Prior to searching, you now need to select the appropriate company for which the authorization is assigned to, to yield results. Once there has been a fix implemented we will remove this banner.

HealthMed Services, Inc. (HMS) is the Managed Care Services Organization (MSO) for PIH Health Physicians (PHP), Pioneer Provider Network (PPN). HMS is responsible for managing authorizations, capitation, claims, contracting, credentialing, eligibility, member services, provider relations and quality management.
Provider offices may utilize this portal for viewing & downloading Explanation of Benefits (EOB), submitting & verifying authorizations, claims status inquiries, quality-risk adjustment education material, auto approval Guideline forms, Provider Manual and any other information pertaining to PHP and PPN.
** If you need to verify eligibility, please utilize the patient's health plan website **
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Utilization Management (UM)
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