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WIN Provider Portal Features

This portal provides services including :

• Search authorization history
• Request a prior authorization
• Submit medical/cycle history information
• Upload documents
• Enter Treatment Outcome
• Enter Prescription
• Search claims and remittance report

Contact Us By Phone

877.444.4946

Patient ID

First Name

Last Name

DOB

Contract

Patient Group ID

Patient Address

Authorization #

Authorized Service Date(From)

Authorized Service

Authorized Service Date(To)

Physician Full Name

Physician Group

Notification
Notification Date	Notifications	User Name

Document Types:

Choose Attachment:

First Name

Last Name

Member ID

Authorization #

From Date

To Date

Claim List Table
Member ID	First Name	Last Name	DOB	Authorization #	Click To Select