Legacy MVP Provider Online Account
For existing Provider Online Account, learn more in the video below, or download our Guide to Your MVP Online Provider Account.
How to Update Your Demographics
It’s important that you notify MVP of a change within 30 days, as outlined in your Provider contract.
The video below shows how Providers can notify MVP of demographic, payment information, and specialty changes. It also covers how to notify MVP if a Provider is no longer participating with MVP, or has left a group.
Network and Demographics Resources:
Eligibility and Benefits
The video below shows you how to view an MVP Member’s eligible status, benefits, copays, coinsurance, and out-of-network benefits online.
You can also read our guides to using the MVP Member ID card or viewing member eligibility and benefits.
Authorizations
The video below shows you how to view the status of authorizations for your tax ID and how to receive email notifications in regard to those authorizations. You can also learn more about Authorizations in our Provider Quick Reference Guide.
If you need to submit a prior authorization request, please use the appropriate Prior Authorization Form found on our Prior Authorizations page.
- Prior Authorization Request Form (NY) (Sign-In Required)
- Prior Authorization Request Form for DME/O&P Items and Services (NY) (Sign-In Required)
- Medication (General & Formulary exception) (Sign-in required)
- Medicare Prescription Drug Coverage Determination Request (Submit Online)
Claims and Electronic Remittance Advice
Watch the video below to learn how to view claim status in your MVP Provider Online account. For more information about claims and remittance, review our Claims and Electronic Data Instruction Guide, or our Provider Quick Reference Guide.
For more EDI information and guides, visit our EDI page.
Claim and Adjustment Request
- To learn about claim adjustment requests, review the Summary of CARF Enhancement presentation, which reviews claims adjustment requests that can be submitted and tracked online
- Authenticated Risk Adjustment Form — Please note, you must be logged in to your MVP Provider Online Account to access this form.