Beginning on 08/23/2025 at 10:00 AM central, secure.guidehealth.com began maintenance activities.
We apologize for any inconvenience this may cause.
New authorization requests, request for additional days and/or visits, as well as submitting additional clinical documentation may not be able to be accommodated at this time. If you encounter an issue, please submit the request, including all documentation needed to ReferralSubmission@guidehealth.com.
Email ReferralSubmission@guidehealth.com with:
- Subject
- New Request
- Member IPA/Site Number
- Attachments
- Attachment: A completed Authorization Form
- Clinical Documentation
Retro date changes will not be accepted.
Email ReferralSubmission@guidehealth.com with:
- Subject
- DOS Extension
- Authorization Number (i.e. WEP-00000000)
- Member IPA/Site Number
- Attachment: Optional
- Email Body:
- Authorization Number (i.e. WEP-00000000)
- Note indicating the dates of services being requested
Email ReferralSubmission@guidehealth.com with:
- Subject
- Additional Visits
- Authorization Number (i.e. WEP-00000000)
- Member IPA/Site Number
- Attachment: Clinical documentation supporting the need for additional visits
- Email Body:
- Authorization Number (i.e. WEP-00000000)
- Note indicating the number of visits being requested and why the additional visits are being requested
Email ReferralSubmission@guidehealth.com with:
- Subject
- Additional Days
- Authorization Number (i.e. WEP-00000000)
- Member IPA/Site Number
- Attachment: Clinical documentation supporting the need for additional days
- Email Body:
- Authorization Number (i.e. WEP-00000000)
- Note indicating the number of days being requested and why the additional days are being requested
Email ReferralSubmission@guidehealth.com with:
- Subject
- Discharge Documentation
- Authorization Number (i.e. WEP-00000000)
- Member IPA/Site Number
- Body: Total days used
- Attachment: Discharge clinical
Only clinical will be accepted through this process. All other requests will be voided.
Email ReferralSubmission@guidehealth.com with:
- Subject
- Requested Clinical Documentation
- Authorization Number (i.e. WEP-00000000)
- Member IPA/Site Number
- Attachment: Requested clinical
Welcome
Welcome to the Guidehealth portal! We're excited to have you here. Discover our range of modules tailored to meet your needs:
Eligibility
Lookup eligibility for any active member.
Claims
Lookup claims and enter appeals.
Authorizations
Enter authorizations, lookup authorizations, and view letters.
Fax-Free Authorization: Effective 03-28-2025
Guidehealth is a fax free facility effective 03-28-2025.
Please log in or register to submit a new request for authorizations or to submit clinical, request authorization date extensions, and request additional visits/days.
Library
Retrieve forms and view tutorials.
Account
Request IPAs, request TINs, and edit account information.
Contact
Self-Service Options
Need assistance using the Guidehealth Portal? Check out our self-service options below.
Appeal / Dispute Status
Appeals can be viewed and entered under the "claims" section when logged into your provider account.
You
can also check on the status of appeals here.
Benefit Inquiry
Benefits, copay, and out-of-pocket levels can be viewed in the "Eligibility" module.
Provider Network Inquiry
You can view providers in your network using the "Find-A-Provider" module in the left-hand-side
navigation
menu.
PCP Change Request
Once logged in, you can request to change your PCP by clicking "Change PCP" on the left hand side.
Claim Status
Claim details and payment status can be viewed in the "claims" module once logged in.
Eligibility Status
Submit a request or report a problem regarding eligibility.
Direct Contact Options
Didn't find what you were looking for? For customer service inquiries related to issues listed below or any issue not covered by the self-serve options, please enter a ticket in the Service Request Portal: Service Request Portal
Member Forms
Upload a Coordination of Benefits Form or a Release of Authorization to Disclose Protected Health
Information (PHI) Form.
Please note that these forms can be found within the library section of the site
after
logging in.
Reimbursement / Rate / Copay Discrepancy Inquiry
Inquiries regarding payment and reimbursement of a claim.
Claim Check Payment Tracer Request
Request a tracer on a payment issued but not received
- AMITA BCBS HMO: 888-747-2264
- Behavioral Care Partners: 888-851-4905
- Endeavor Health Physician Partners: 888-851-4905
- Northwestern Medicine Physicians Network: 888-322-1608
- Pathways Behavioral Health Network
- AMITA BCBS HMO: 888-747-2264
- University of Chicago Physician Partners: 800-385-6598
- Physicians Care Network: 800-642-2948
- Powers Health Partners: 800-327-7900
- Progress Health PHO: 844-407-3438
- University of Chicago Physician Partners: 800-385-6598