Once contracted with Iowa Total Care, providers are enrolled through multiple Iowa Total Care systems. Portal access is dependent on portions of this enrollment being completed. Until portal access can be acquired, the following processes should be utilized by providers:
- For authorization requests:
- For Member Eligibility Verification
- Call 1-833-404-1061 Option #3 then Option #1
- For Assistance with Behavioral Health
- Call 1-833-404-1061 Option #3 then Option #4
- For Assistance with Care [Medical/LTSS/Waiver] Management
- Call 1-833-404-1061 Option #3 then Option #6
Secure Provider Web Portal
If you are a contracted Iowa Total Care provider, you can register now. If you are a non-contracted provider, you will be able to register after you submit your first claim.
Once you have created an account, you can use the Iowa Total Care provider portal to:
- Verify member eligibility
- View member health records
- View the PCP Panel (Patient List)
- View and Submit Claims and Adjustments
- Verify Claim Status
- Verify Proper Coding Guidelines
- View Payment History
- View and Submit Prior Authorizations
- Check Prior Authorization Requirements
- Verify Prior Authorization Status
- View Gaps in Member Care
- Contact Us Securely and Confidentially
- Add/Remove Account Users
- Determine Payment/Check Clear Dates
- Add/Remove TINS from a User Account
- View PCP Quality Incentive Report
- View and Print Explanation of Payment (EOP)
Join Our Network
Thank you for your interest in becoming an Iowa Total Care network provider. We look forward to working with you to improve the health of the community.
Iowa Total Care is pleased to partner with contracted providers on claims testing to ensure a successful implementation. The goal of testing is to validate our providers’ understanding of the claim submission process with Iowa Total Care, as well as to test the set-up of the claims system to ensure accuracy of benefits and payment structures.
If you are interested in participating in claim testing, please contact us Iowa Total Care at 833-404-1061 or Providerrelations@IowaTotalCare.com.