---
title: "Provider portal | Sutter Health Plan"
description: "Use the Provider Portal to check member eligibility, view coverage, view claims, and access forms, benefits and clinical resources. Learn how to register for an account."
url: "https://www.sutterhealthplan.org/providers/portal"
---

1.  [Home](https://www.sutterhealthplan.org/) /
2.  [Providers](https://www.sutterhealthplan.org/providers) /
3.  Provider portal

# Provider portal

With the Sutter Health Plan Provider Portal, network providers can check member eligibility, view claims and access valuable resources with ease.

[Provider portal sign in](https://shplan.org/providerportal)

**Section menu**

-   [Providers](https://www.sutterhealthplan.org/providers "Providers")
    -   [Provider portal](https://www.sutterhealthplan.org/providers/portal "Provider portal")
        
    -   [Non-participating provider claim information](https://www.sutterhealthplan.org/providers/non-participating-provider "Non-participating provider claim information")
        
    -   [Provider verification process](https://www.sutterhealthplan.org/providers/provider-verification-process "Provider verification process")
        

-   [Providers](https://www.sutterhealthplan.org/providers "Providers")
    -   [Provider portal](https://www.sutterhealthplan.org/providers/portal "Provider portal")
        
    -   [Non-participating provider claim information](https://www.sutterhealthplan.org/providers/non-participating-provider "Non-participating provider claim information")
        
    -   [Provider verification process](https://www.sutterhealthplan.org/providers/provider-verification-process "Provider verification process")
        

Provider-focused, care-driven

The Provider Portal is your round-the-clock solution for efficient member health benefits management.

Eligibility verification

Access member coverage information

Search claims

Download forms and resources

Read the provider manual

## How to register

Register for the Provider Portal to make managing member coverage with Sutter Health Plan easy. 

-   **Step 1:** Go to [shplan.org/providerportal](http://shplan.org/providerportal) and select “Register Here.”
-   **Step 2:** Carefully review and then accept the “Provider Responsibilities” related to accessing Protected Health Information (PHI).
-   **Step 3:** Follow the instructions to complete all required sections on the Provider Registration Page. You’ll need your license number, National Provider Identifier (NPI) and Taxpayer Identification Number (TIN).
-   **Step 4:** We’ll email you to confirm your portal registration request and send a second email once it’s approved. Please allow 2–3 business days for processing.

Provider portal features

### Access member information

Everything you need to know about a member — right at your fingertips.

-   Check claims status or view detailed claim lines by claim ID, date of service, member ID, or name
-   Find member coverage details, including accumulators, cost share, and plan type
-   Verify eligibility and coverage start date before providing services
-   Review member benefit documents like the BCM, EOC, and SBC
-   See a member’s primary care physician (PCP) and participating provider group (PPG)

### Tools, forms and pharmacy resources

Support your practice with easy access to key forms, updates, and clinical tools.

-   Use quick links to the formulary and prescription drug prior authorization form
-   Access provider resources like the Provider Manual, medical policies, and clinical practice guidelines
-   Submit online prescription prior authorizations
-   Download essential forms including the Member Grievance Form and Provider Forms
-   Stay informed with regular provider updates
-   Review member rights and responsibilities

Frequently asked questions

**Can Sutter Health Plan register my portal account over the phone?**

No. While we can’t register your account for you, Customer Service can walk you through the registration process. Call our team at [855-315-5800](tel:855-315-5800).

**What are the username and password requirements?**

Your username:

-   Can’t be the same as your password
-   Can’t contain spaces or special characters (such as $ % &)
-   Must be at least six characters

Your password:

-   Can’t be the same as your username
-   Must be at least eight characters
-   Must contain at least one uppercase letter, one lowercase letter, one number (0-9) and one special character (such as $ % &)
-   As an added layer of protection, we’ll ask you to update your password once a year.  
     

**What types of member coverage information are available on the portal?**

The portal includes a comprehensive list of member coverage information, such as: 

-   Accumulator information (amounts paid toward deductibles and out-of-pocket maximums)
-   Comprehensive benefit documentation, including EOC and BCM
-   Member cost share information (including copayments and coinsurance for standard services)
-   Plan name and type

**What claims information can I access through the portal?**

The portal allows you to view detailed, line-item claims information. You can search for claims using multiple parameters, including: 

-   Claim ID 
-   Date of service range 
-   Member ID number
-   Member name

**What happens if I forget my username or password?**

If you forget your username or password, click the “Forgot Username?” or “Forgot Password?” link, enter your account information and answer the security questions. We’ll email you your username or a temporary password.

We’re here to help

Customer Service can help answer your questions about enrollment, benefits, portal access and more.

### Message us 

Submit a secure message and we’ll contact you within five business days.

[Complete the form](https://feedback.sutterhealth.org/f/136895/8368 "Complete the Form")

### Call us

Call 855-315-5800 or TTY 855-830-3500, weekdays: 8:00 am – 7:00 pm.

Call [855-315-5800](tel:+18553155800)

### Email us

Email shpserviceteam@sutterhealth.org with details about how we can help you.

[Email now](mailto:shpserviceteam@sutterhealth.org)

```json
{"@context":"https://schema.org","@type":"WebPage","name":"Provider portal | Sutter Health Plan ","description":"Use the Provider Portal to check member eligibility, view coverage, view claims, and access forms, benefits and clinical resources. Learn how to register for an account.","url":"https://www.sutterhealthplan.org/providers/portal","breadcrumb":{"@id":"https://www.sutterhealthplan.org/providers/portal#breadcrumblist"}}
```

```json
{"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealthplan.org/providers/portal#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealthplan.org/"},{"@type":"ListItem","position":2,"name":"Providers","item":"https://www.sutterhealthplan.org/providers"},{"@type":"ListItem","position":3,"name":"Provider portal"}]}
```
