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Claim Reconsideration Portal

Note: For those who had a HealthTrio account but did not migrate it before HealthTrio was retired, if you create a new account here with the same email address used in your HealthTrio account(s), your claim reconsideration history and TIN access will be merged into this new direct login account. (You'll have to validate your first TIN using claim information as listed in the form below.)

To create a new account, please fill out the following form

Information about You

 
*First Name:   *Last Name:
 
*Work Email Address: (this will be your username)
*Password:   *Password (verify):
 
*Work Phone:   Extension:
 

Information about your Group/Office


*Group Or Provider Name:   *Group Or Provider NPI/API:
 
Address:   City: State: Zip:
 
*Billing Tax ID:   Office Phone Number:
   
*Office Type:   Comments (if Office Type = Other):
 

Validate your identity with the following:


For legacy Optima plans, this information needs to be from a claim you've submitted for either:
   1) Medicare Service Dates 5/1/2023 and greater, or
   2) Medicaid Service Dates 1/1/2024 and greater.

*Claim Number:   *Claim Service Date:   *Claim Total Billed Dollars:
   
(* Denotes required fields)    
 

Password Requirements

  • Between 12 and 32 characters
  • At least one letter
  • At least one number
  • At least one special character
  • Does not contain your name or email address
  • Does not repeat old passwords
  • Does not repeat a character three or more times together


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