One facility account, many HMOs.
The provider portal lets a hospital, pharmacy, lab or clinic submit claims, request authorizations and follow payments across every HMO they're contracted with.
The provider dashboard — today's claims, PA status, settlements and disputes
Screenshot — coming soon
Multi-HMO by design
A provider has one Vetra account. Each link to an HMO is approved separately by that HMO and gives the provider access to that HMO's plans, fee schedules and PA rules — and nothing else.
Cross-tenant directory
The modules
| Dashboard | Today's claims, PA status, settlements and disputes — all live. |
|---|---|
| HMO Network | HMOs you're linked to plus the directory of HMOs you can request to join. |
| Claims | Three-step submission, queue, query replies, attachments. |
| Authorizations (PA) | Pre-auth requests, codes, SLAs, appeals. |
| Payments | Remittances, payment proofs, statements — your real-time AR. |
| Disputes | Raise and track disputes against an HMO's remittance. |
| Roles & Users | Invite your billing team with scoped access. |
| Settings | Facility, banking, tax, departments. |
Submitting a claim — the 3 steps
- 1
Patient & encounter
Enter the Member ID — eligibility is verified instantly. Pick encounter type and capture ICD-10 diagnosis. - 2
Line items
Add procedures, drugs, labs and consumables. Each line shows the plan benefit limit so over-limit lines are obvious before submission. - 3
Attachments & review
Attach prescriptions, lab requests, encounter notes or discharge summaries. Review and submit.
Step 2 of the 3-step claim flow — adding line items with benefit-limit hints
Screenshot — coming soon
Claim statuses you'll see
| SUBMITTED | Sent — waiting for the HMO to receive. |
|---|---|
| RECEIVED | HMO accepted into their adjudication queue. |
| IN_REVIEW | Adjudicator is working on it. |
| QUERIED | HMO asked a question — open the claim to reply. |
| RESUBMITTED | You answered the query — back in queue. |
| APPROVED | Approved in full or part. |
| REJECTED | Declined — see the coded reason. |
| SETTLED | Paid — see remittance in Payments. |
Getting paid
- Each HMO runs settlement runs on their own cadence.
- A run produces a remittance per provider: claims, amounts, fees, net.
- When the HMO uploads the payment proof, your Payments tab updates instantly.
- Raise a dispute on any line you want to challenge — tracked through to resolution.
The provider Payments tab — remittances, payment proofs and statements
Screenshot — coming soon
Watch a full walkthrough
Provider portal — submission, PAs and payments
A linked provider taking a claim from intake to settled, end-to-end.
Walkthrough — coming soon
Take this with you
The provider role guide bundles this content into a single downloadable Markdown.
Open the provider guide