CountyCare - Welcome to the CountyCare Provider Portal

CALL US 312-864-8200


Welcome to the CountyCare Provider Portal

Claim review submission now available through the provider portal. Click here for the Provider Claim Review User Guide. The Provider Claim Review Form is available here.

The CountyCare Health Plan provider portal is designed to give you real-time access to valuable information about your CountyCare patients and may eliminate the need to call Provider Services. Please visit our provider portal for the following:

  • Check Member Eligibility
  • Claims Status Search
  • View EOP and payment details
  • Check Prior Authorization Requirements by CPT Code
  • Submit Prior Authorization Requests
  • View Prior Authorization Status

Authorization Portal Resources

  • NEW USER ACCESS: Please self-register for the CountyCare provider portal using your practice Tax ID Number (TIN) here.  You will immediately have access to claims and eligibility functionality; however we will inform you via email when your access has been granted to view and submit electronic authorizations.
  • Provider Training Materials

    Click here to access the provider portal user guide

    NEW PORTAL FEATURE: InterQual Criteria Now Available via Provider Portal as of 1/1/2020

    WHAT: InterQual is the evidence-based criteria set used by CountyCare to support medical necessity determinations during the prior authorization process.

    WHY: Access to InterQual criteria allows providers to view the clinical information needed prior to submitting a request for authorization, as well as the option to review the criteria subset used when an adverse determination has been issued.

    HOW: Once you login to the CountyCare Provider Portal, select “InterQual Criteria” on the menu bar. The criteria subsets will appear in an easy-to-navigate screen display.

    JOIN US
    for a 
    TRAINING SESSION
    Pre-Recorded Tutorial (watch anytime!)
    Live Training Session:
    Wednesday, February 5, 2020, 2pm – 3pm CST

    Click here to join us on February 5th!
  • Contact Us
    • For questions on status of new account requests please contact your assigned Provider Relations Representative or providerservices@countycare.com
    • For technical assistance in logging into Identifi once you already have a username and password please contact the Identifi Technical Support Desk at 312-864-8200 or support@evolenthealth.com
    • If you cannot see specific authorizations call or email the Identifi Technical Support Desk at 312-864-8200 or support@evolenthealth.com with the reference number for further account assistance.

Portal access is available for contracted providers only.

Login to the Provider Portal

For New Users

You can self-register for the CountyCare Provider Portal using your practice Tax ID Number (TIN). Click “Login to the Provider Portal” above then "Don’t have a Provider Account? Register here."

NOTE: Access to online authorizations is not immediate, you will receive email when your access has been granted to view and submit electronic authorizations.

Need Help?

If you have any questions or would like additional information, please contact CountyCare Provider Services at ProviderServices@countycare.com or your Provider Relations Representative


  

©2016 COOK COUNTY HEALTH AND HOSPITALS SYSTEM. ALL RIGHTS RESERVED.