Check patient eligibility

To confirm that a patient is a current Priority Health plan member, call the Provider Helpline at 800.942.4765, option 2.

Save time - get a provider account

Once you have an online account with us, you can use our online tools.

Member Inquiry lets you:

  • Check eligibility and contract history
  • Check address and phone
  • Update COB information
  • See out-of-pocket limits
  • See deductible balance(s)
  • See copays and coinsurance
  • See many benefits/coverages, such as DME, home health care, maternity, prosthetic/orthotic