Provider Portal

The Provider Portal, also known as QC Portal, is a comprehensive managed care software that is highly flexible, easy to use and powerful. The software allows PsycHealth providers to verify eligibility, enter referral and authorization requests, submit claims and view the status of all data in real-time from any internet web browser.

Member Eligibility

QC Portal uses real-time data to search and preview member eligibility.

Referral History

QC Portal allows for searching for outpatient mental health service records.

Authorization History

QC Portal also can display authorization history, including inpatient, partial, and intensive outpatient mental health service records.

Claim History and Submission

QC Portal additionally allows for viewing claim history and submission of manually entered claims and 837 EDI files.

Call Logs

QC Portal can show the user up-to-date electronic medical records through the call log system.
Authorized Use

This system is for the use of authorized users only. Individuals using this system with authority, without authority, or in excess of their authority, are subject to having all of their activities on this system scanned, monitored and/or recorded by authorized system personnel. Anyone using this system expressly consents to such monitoring and is advised that if such monitoring reveals possible evidence of criminal activity, system personnel may provide the evidence of such monitoring to law enforcement officials.

Upon your initial login via QC Portal, you will be asked to read and review a Registered User Agreement (“Agreement”) carefully.  You may not use the System unless you first accept the terms and conditions of this Agreement by clicking the button labeled “I Accept”.  By clicking “I Accept” you are electronically signing this Agreement.  As a result, you are subject to its terms and conditions as if it were a written agreement.  PsycHealth, Ltd. (“PsycHealth”) reserves the right to terminate this Agreement at any time and for any reason.

Provider Notice

Effective 6/1/2016 all in-network contracted Providers with PsycHealth Ltd. will be able to view and print their Explanation of Benefit reports directly from the secure PsycHealth QC Portal website. PsycHealth will no longer be mailing these EOBs along with the checks.

Once logged into the portal with your ID and Password, select from the Menu – EOB/Payment History.  You will be able to select the EOB by Payment Date.  Most recent payments are listed first.

If you are an Out of Network Provider, PsycHealth will continue to mail you your EOBs.

If you have a problem with your ID/Password or any questions regarding this process please fill out our contact form.

Providers will no longer need to wait for mailing of payment to begin posting accounts because EOB will be available immediately after printing checks.  As a reminder printing checks is on 15th and 30th (31st).

Member Eligibility

Please note that Member eligibility information is received on a monthly basis from the medical groups.  As such, there may be a lag of up to 30 days between the time the medical group makes a change to the member’s policy and when that change is reflected by QC Portal.

If you have any questions about the eligibility information displayed by QC Portal, please contact the Clinical Care Department at memberservices@psychealthltd.com.

Provider Information

Provider information is maintained on a daily basis by the PsycHealth Provider Relations Department.

If you have any questions about the provider information displayed by QC Portal, please contact the Provider Relations Department at providerservices@psychealthltd.com.

Referrals and Authorizations

Referral and Authorization requests are reviewed on a daily basis by the PsycHealth Clinical Care Department.  The current status of any request can be viewed via QC Portal.  All referral and authorization requests will be processed in accordance with terms set forth in the PsycHealth Provider Contract.

If you have any questions about the status displayed by QC Portal, please contact the Clinical Care Department at memberservices@psychealthltd.com.

Claims

Claims submissions are reviewed on a bi-weekly basis by the PsycHealth Claims Department.  The current status of any claim processed by PsycHealth can be viewed via QC Portal.  All claims submissions will be processed in accordance with Illinois law and PsycHealth claim polices and procedures.

If you have any questions about the status displayed by QC Portal, please contact the Claims Department at claimsinfo@psychealthltd.com.

Need Training?

If you need access to the portal and you are eligible, contact us to schedule a training. Use the Help Desk form to let us know that you need training or email us.

Please be advised that training appointments are usually scheduled after the 15th of every month.

Prior to scheduling a training please make sure that you:

  • are an in-network provider with Psychealth Ltd.;
  • have submitted at least one referral to our office;
  • and that you know your NPI number and TAX ID.

If  you are billing for a provider please forward us proof of permission for access to the portal. Proof can be be a written letter or e-mail directly from the provider.

Help Desk

The PsycHealth Help Desk for QC Portal related issues can be contacted via the following form or at: QCPortal@psychealthltd.com.  Please be sure to include your name, telephone and email address when submitting an inquiry to the Help Desk.  All requests will be addressed within ten (10) business days.

Your Last Name (required)

Your First Name (required)

Your Email (required)

Your Phone Number (required)

What do you need help with? (required)
 Login/Access
 Claims inquiry
 Eligibility inquiry
 Referral/Auth inquiry
 Other

Are you a member or a provider? (required)
 Member Provider Other

Alternate Modes of Operation

From time to time, PsycHealth will use the System Messages to convey important information to providers.  Please review the messages on this screen as they may indicate when QC Portal may be unavailable for use due to system maintenance and/or upgrades.

QC Portal is an internet based application and is subject to occasional outages.  If the QC Portal website cannot be reached for any reason please contact us so we may resolve the issue. Please note that most outages are resolved within 24-hours.

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