How do you use the Medicare provider portal?


Quick Answer

Use the Medicare provider portal to register for and access various Centers for Medicare & Medicaid Services applications, including ones for Medicaid, Medicare, the Children's Health Insurance Program System, the Coordination of Benefits System and the Comprehensive Primary Care Initiative, according to CMS.gov. It is also used to access the Customer Service Representatives System and the Electronic Correspondence Referral System Web System. To access the Medicare provider portal, create a user account on CMS.gov.

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Full Answer

The Medicare provider portal, formally known as the CMS Enterprise Portal, is an online interactive health care platform offered on CSM.gov. The portal enables the user to enroll and update his information in the Medicare Provider Enrollment System, and to register, access, and assist in the Medicare and Medicaid Electronic Health Records Incentive Programs, explains CMS.gov.

Use the portal to create a CMS User Account by applying for and receiving login credentials in the form of a User ID and password, notes CMS.gov. Use the account to apply for and receive approval to access CSM-supported Medicare solutions and databases, such as the Medicare Advantage-Prescription Drug/Prescription Drug Plan/Cost Contracts, the Medicare Exclusion Database, and the Center for Strategic Planning-Medicaid and Children’s Health Insurance Program State Information Sharing System.

The portal offers an online gateway that allows the public to access a number of systems related to Medicare Advantage, Prescription Drug and other CMS programs, according to CMS.gov. Access requires a CMS User Account, and all U.S. citizens who are over 18 years of age and have a valid U.S. residential address are eligible to have a CMS User Account.

For more information on how to use the portal, download the Individuals Authorized Access to the CMS Computer Services user guide on CMS.gov.

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