Providers
Thank you for your partnership with University of Michigan Health Plan (UM Health Plan) and for everything you do to help our members live their best lives.
UM Health Plan understands that access to information is key to managing your patients’ care. That’s why, in addition to the information available on this website, we offer our provider portal. On the portal, providers can:
- View detailed member claim information, including any copays, deductible, and coinsurance amounts.
- Find providers in your area by specialty or location.
- Create and print the provider directory.
To visit the portal, select "provider portal" from the left side navigation bar.
Recent Notices
View Archive UM Health Plan Will Require All Providers to Utilize EZ Auth/Referrals for Medical Prior Authorization.
Beginning Dec. 1, 2024, UM Health Plan will require all providers to utilize EZ Auth/Referrals for medical prior authorization*. EZ Auth/Referrals allows you to submit authorization requests electronically and receive an immediate response for the authorization status. While many Providers in the UM Health Plan network are already utilizing EZ Auth/Referrals, UM Health Plan invites you to attend a virtual training session outlining how to use EZ Auth/Referrals portals.
See the EZ Auth/Referrals User Guide here.
Click here to select a date and register for one of the virtual training sessions.
*This does not impact UM Health Plan Self-Funded members
University of Michigan Health Plan is Changing its Pharmacy Benefit Manager (PBM) from CVS Caremark to Express Scripts, Inc.
Effective Jan. 1, 2025, University of Michigan Health Plan (formerly Physicians Health Plan) is changing its pharmacy benefit manager (PBM) from CVS Caremark to Express Scripts, Inc. (ESI).
See here for more details.
Electronically Submitted Claim Adjustments and Voids
Effective immediately, University of Michigan Health Plan (UM Health Plan) is accepting electronically submitted claim adjustments and voids. Click here to see more information.
Update to Payment Integrity Platform
In October 2024, UM Health Plan will be partnering with Zelis Payment Integrity Solution to implement a new payment integrity platform for code editing and expert claim review (ECR). Please see the flyer for details.
Notice of PHP Rebrand
Physicians Health Plan (PHP) is rebranding to University of Michigan Health Plan to better align with our majority owner - University of Michigan Health. University of Michigan Health owns 90% of the health plan; Covenant HealthCare owns 10% of the health plan. The rebrand will launch in phases beginning Aug. 30, 2024. See here for more info.
Please Notify Us If You Are No Longer Accepting New Patients
To remain compliant with CMS, State, and Federal guidelines, we require prompt notification if a PHP practitioner is no longer accepting new patients. You are required to complete the Provider Information Update Form and return it to us in one of the following ways. Thank you for your adherence to this policy.
Mail:
University of Michigan Health Plan
Attn. Network Services
PO Box 30377
Lansing, MI 48909
Fax: 517-364-8412
Email: ProviderUpdates@UofMHealthPlan.org
