Find a Doctor - Quickly find physicians and other providers in our networks.
Eligibility & Benefits - Get eligibility and benefit information for members, including deductible and benefit limit accumulators.
Claims & Payments - Easily search for claims or payments, then look up, print, and download PDF copies of your Explanation of Payments (EOPs).
Claims Editor What If tool - Access the What If tool to test billing scenarios (for professional services only) and code combinations with our claims editing software and the tool shows specific coding rationale.
Submit Estimate/Claim*- Verify eligibility for benefits, estimate patient share of cost for professional services or for paper claim submitters, option to submit claims in real-time (upon request).
Prior Authorization Tool - Check procedure codes to determine if a benefit advisory is recommended or a prior authorization is required.
Advanced Imaging - Submit a request for review when ordering an advanced imaging service.
Reference Materials - Access medical policies, payment policies, clinical practice guidelines, and forms.
*Only for contracted providers
Need Electronic Funds Transfer
To sign up for electronic funds transfer (EFT) on LifeWise’s provider website, your administrator must add an EFT role to your subscriber ID account. Here are the steps for the administrator to follow: