Use Provider Online Tools for Claims & Preauth

SBA offers a variety of online tools that make it easier for you and your team to get the information you need, right when you need it.

SBA offers a variety of online tools that make it easier for you and your team to get the information you need, right when you need it. Whether you’re checking a patient’s benefits, looking up claim details, or submitting a preauthorization, these tools are designed to save you time and simplify your day-to-day work. With quick access, intuitive features, and secure systems, managing patient information has never been more convenient.

• Provider Benefit Tool (PBT): Verify benefits, eligibility, and claims status
• Preauth & Care Plan Tool: Submit preauthorization requests, monitor request status, and view decisions
• How to Register

Search options within the tool help you locate patients, claims, or remittance advice. Other features allow you to:

• Search for benefits and eligibility information by member ID number, Medicaid ID number, name and date of birth, or Social Security number.
• View a patient’s claims history and status or processing information by individual claim or member.
• Securely request a reprint of a Remittance Advice/ Explanation of Payment.
• Attach supporting documents to a specific medical or dental claim (when required) to facilitate reprocessing.
• View medical and dental member payment summaries, which provide more benefit details.
• Quickly locate deductible and out-of-pocket accumulators.
• Access outpatient physical, speech, and occupational therapy accumulators.
• View coordination of benefits information to help determine the order of benefits for a member (if applicable).
• View medical and dental coverage history.

Visit simplifiedbenefitsadministrators.org/providers/claims to learn more.

Using the Preauth & Care Plan Tool means:

• Fewer overall required steps to preauthorization for your patients
• No more duplicative efforts and potential errors when staff enter information from a paper form
• Reduced response time, follow-up calls, and decision delays due to missing information
• No risk of faxed member information being lost or sent to the wrong fax number
• Automatic review and preauthorization decisions for many procedures

Visit simplifiedbenefitsadministrators.org/providers/preauth-tool to learn more.