Proper and timely claims adjudication is critical to every provider in the Health Care industry. The Santeon portal is your resource for monitoring and managing your claims process with DHMH. It’s easy to use and will enable you to directly submit claims and check their status. Use it as an interactive means to communicate with DHMH. Below are some of the ways you can use the Santeon portal to simplify your claims management process:

First, log into the Santeon Portal using your user ID and password. Then…..

Check Patient Eligibility.
The Santeon Portal helps you check whether or not your patient is eligible for the medical services you provide. Simply submit the patient’s identification information to DHMH on-line. As soon as the request is processed (a brief moment) you will receive notification of eligibility status in your message center.

Request an Authorization.
No need to go through paperwork hassles! Submit your prior authorization request online. As soon as the request is processed you will receive a notification in your message center regarding the acceptance or denial of your authorization .

Check Claim Status
After submitting your claim to DHMH, you can inquire about their status . You will receive a direct response for each claim submitted.

Submit Claims Online
The Santeon Portal enables you to submit professional, institutional, and dental health insurance claims. You can also view, edit, and/or delete any of the submitted claims.

Upload Claim Files
The Santeon Portal gives you the ability to upload claim files in any format and save them for reference in the portal repository until you decide to download them.

Update Your Profiles
Update your professional details online. You do not have to make a phone call or mail DHMH changes to your profile. Simply update your professional details by accessing the Portal and make the necessary changes on-line.