Welcome to the HealthMed Services EZ-Net Provider Portal


Important Announcements:

We are aware of a printing issue with Authorizations. The current workaround when printing is to select More Settings > Scale > Change from Default to Custom and set to 70. This only needs to be done once and will save for future use. Once there has been a fix this announcement will expire.


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 **


EZ-Net Compatibility

HMS Provider Portal is compatible with the following browsers: 

Google Chrome, Microsoft Edge, Firefox & Safari

 

Need Access to the HMS EZ-Net Provider Portal?

Please Click Here to submit an EZ-Net Access Request Form.

 

Utilization Management (UM) Affirmation Statement

UM decision making is based on appropriateness of care and service and existence of coverage. The provider organization does not specifically reward practitioners or individuals for issuing denials of coverage, does not offer incentives to encourage denials, and does not encourage decisions that results in under-utilization. The provider organization ensures independence and impartiality in making referral decisions that will not influence hiring, compensation, termination, promotion and other similar matters.






Provider Portal User Responsibilities

It is the responsibility of all HMS MSO approved providers and delegates to ensure that the HMS MSO Provider Portal is properly secured and controlled. All Users have a responsibility to ensure: Access Privileges - Employees or Business Associates of Provider must only access information that they have been authorized to use. No attempts are to be made to bypass or defeat the security systems nor to obtain the use of privileges issued to other contracted employees of Providers (e.g., never use/share another person's User ID, never disclose your password). Individuals are personally responsible for any computer processing performed under their User ID. Should security breaches of this type occur, the offending User ID(s) will be suspended pending an investigation. Access will be monitored by HMS MSO and HMS IT Department. Manager or proprietor who authorizes user access is held responsible for the conduct of their user(s) and must ensure compliance with HIPAA Privacy and Security and HITECH Act. Confidentiality of Passwords – Personal passwords including challenge questions are regarded as sensitive and must be protected from disclosure and compromise. Software Security - The copyright of software and the integrity of system configurations and software must not be violated. Data Transmission Security - Only approved medium may be used to transmit data, including the use of encryption where required.

 

Terms and Conditions of Use

These are a summary of the relevant terms and conditions for access to the Provider Portal. Any unauthorized and intentional access, destruction, alteration, addition or impediment to access or usefulness of protected health information stored in any computer during system use is an offense which may attract a substantial penalty, including imprisonment. User access termination – HMS reserves the right to terminate User access for any reason without prior notification. User access can be deactivated when there has been no activity for one hundred and eighty (180) consecutive days. Promoting efficient, effective, and ethical use of IT resources – use of the HMS MSO's computing facilities for unauthorized purposes including illegally accessing a computing service, downloading or distribution of inappropriate, undesirable, or offensive material may result in prosecution. Reporting Lapses of Security – Any known or suspected attempts to breach the User Responsibilities specified above must be reported immediately to the HMS Helpdesk at 562-698-0811 ext. 14160 or via email to helpdesk@pihhealth.org








Utilization Management (UM)
P: 562-789-5401 ext. 81824
E: UM@PIHHealth.org (for non-urgent questions)
H: Monday through Friday, 8:30a - 5:00p PST

Claims
P: 562-789-5401 ext. 81700
H: Monday through Friday, 7:00a - 5:00p PST

Helpdesk (Password Resets & Account Lockouts/Deactivations)
P: 562-698-0811 ext. 14160
H: 24/7

Provider Support Coordinator (EZ-Net Issues & Training)
P: 562-789-5401 ext. 81262
H: Monday through Friday, 8:30a - 5:00p PST