Frequently Asked Questions

To check the status of a claim, log into your account at Provider Portal and navigate to CLAIMS.

You will be able to search claims using Member ID, Patient Account Number, Create Claim ID and other criteria.

Claim status can also be requested by performing an ANSI 276 transaction through Change Healthcare (formerly Emdeon).

For more information, call Provider Services at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

To view Remittance Advice (RA), log into your account at Provider Portal and navigate to ERA Download.

You will be able to search claims using Member ID, Patient Account Number, Create Claim ID and other criteria.

Once you locate the claim you are looking for, click on the top right-hand corner to view, download or print your RA.

For more information, you can call Provider Services at 1.844.427.3878 Monday to Friday 8:30 am to 6:00 pm ET.

For questions regarding payment, please log into your account at Provider Portal and navigate to CLAIMS. Once you locate the claim you are looking for, click on the top right hand corner to view, download or print your Remittance Advice to go over the explanation of payments. You can also reach our Provider Services at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

Create issues payments daily to providers based on client funding. Payment is usually remitted within 30 days of receipt of a clean claim.

Our default payment method is EZ Pay, which is a single use card program that is faster and more secure than checks.

Our default payment method is EZ Pay, which is a single use card program that is faster and more secure than checks.

Create does not charge a fee for any of our payment methods. Your bank or card processor may charge transaction fees based on your agreement with them.

Yes, we accept ICD 10 codes for all our claims.

Provider disputes can be submitted to Create by fax to 1.516.723.7392 or by mail to:

Create Appeals
P.O. Box 8118
Garden City, NY 11530

To learn more about Create please visit Provider Portal or call our Provider Services team at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

We use claim editing software that applies industry-standard rules and regulations to ensure appropriate and standardized claim processing. The software will also re-bundle services that are included in the primary procedure. Our claim editing software is routinely updated.

To check the eligibility for a Create member, log into your account at Provider Portal and navigate to ELIGIBILITY & BENEFITS.

Use the Member ID to search for member eligibility.

For more information, call our Provider Services team at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

To view Create member ID cards, log into your account at Provider Portal and navigate to ELIGIBILITY & BENEFITS.

Use the Member ID to search for member’s eligibility. On the Eligibility Details screen will see a digital copy of the member’s ID card. You can print or save the ID card as a PDF file.

For more information, call our Provider Services team at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

The provider portal at Provider Portal has many self-service tools that you can use:

• Claims search
• Eligibility & Benefits search
• Pre-certification status lookup
• ERA download
• Manage accounts
• Update service address
• FAQs

We are constantly striving to add more features and capabilities to our portal. Please feel free to provide us feedback at [email protected] or at:

Create Appeals
P.O. Box 8118
Garden City, NY 11530

You can register at Provider Portal.

For more information please read our How-To Guide with instructions on how to get started.

Note: RCM requests will generate an application that will be reviewed by our Legal Department for approval.

For additional questions, call our Provider Services team at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

No. If you are a provider who is part of both MagnaCare and Create, then you don’t need a separate account to access Create.

We offer two access levels: Super-users and users.

Super-users have more capabilities than a regular user, such as adding more users. Typically, office managers and supervisors may need super-user level access so that they can add/remove users.

You can have up to four super-users per account.

Yes, a super-user can add as many users as needed.

To add more users, the super-user should log into their account at Provider Portal and navigate to MANAGE ACCOUNT.

Click on the ADD USERS button and enter a new username and all required profile details.

Assign the access level by selecting super-user or user under ROLE AND CAPABILITIES.

For more information, call our Provider Services team at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

Our service model provides you with a single point of contact for all your administrative questions.

Visit Provider Portal for your service needs or call our Provider Services team at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

To find out which services require pre-certification, call our Provider Services team at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

Submit pre-certification requests by fax at 1.516.723.7392. You can also call our Provider Services team at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

Currently we do not offer online pre-certification requests. We are working diligently to provide this feature to our valued providers. Please check back for updates.

Pre-certification requests can be submitted by fax at 1.516.723.7392.

For more information call Provider Services at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

To check the pre-certification status, log into your account on Provider Portal and navigate to PRE-CERTIFICATION.

You can search for a pre-certification request already submitted by using Case Number, Member ID and other search criteria.

For more information, call Provider Services at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

Yes, our Medical Management department offers a Transition of Care program for those with a qualifying health condition that requires ongoing care.

Since each case is different, we urge you to fax a completed Transition of Care form to our Medical Management department at 1.516.723.7392.

After we receive your request we will contact your office to provide you with the options that are available for your patient.

For more information, call Provider Services at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

Since each case is different, we urge you to contact our Provider Services team at 1.844.427.3878 to find out the network options available to your patient. Our network is robust and offers all services necessary.

Appeals can be submitted to Create by fax at 1.516.724.7392 or by mail at:

Create Appeals
P.O. Box 8118
Garden City, NY 11530

For more information, call Provider Services at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

To request a peer review please call Provider Services at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.

For your case management needs, contact our Provider Services at 1.844.427.3878 Monday to Friday, 8:30 am to 6:00 pm ET.