Provider Portal

Effective for dates of service starting January 1st, 2025, VillageCareMAX is changing the partner we use for various Plan administration functions. This means the way you interact with us might change. For a quick overview of these changes, please see the Summary of Changes guide.

For Claims Dates of Service ON or PRIOR to December 31, 2024
Enter Portal HERE

Including member eligibility for 2024 Dates of Service, PCP Panel members,  claims status, inquiries, and appeals for claims with 2024 Dates of Service.

For Claims Dates of Service ON or AFTER January 1, 2025
Enter Portal HERE

Including member eligibility for 2025 Dates of Service, and submit claims or review status for claims with 2025 Dates of Service.

For Authorization Requests and Status
Enter Portal HERE

For questions, please call our Provider Service team at 855-769-2500.

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