Provider Portal

PROVIDER PORTAL FORM
For those unable to access the Provider Portal and would like to communicate claim status electronically, please fill out the form below. One of our client services specialist will review your request and provide you with a response within 24 hours.


PROVIDER DETAILS

Claim Information

ONLINE SERVICE AGREEMENT TERMS OF USE



Terms and Conditions of Use: We created the Global Excel Management (GEM) Provider Portal for the convenience of our Providers. By accessing the Site or other web sites through links provided by GEM, you agree to all terms, conditions, and notices contained or referenced herein (the "Terms of Use"). If you do not agree to these Terms of Use please do not use the Site. We reserve the right, at our discretion, to update or revise these Terms of Use. Please check the Terms of Use periodically for changes. Your continued use of the Site following the posting of any changes to the Terms of Use constitutes acceptance of those changes.
Agreement to Rules of Use: You agree to abide by this Agreement and the GEM Rules of Use, including but not limited to, agreeing not to use the Site for any unlawful purpose. A copy of the Rules of Use, which you should review, can be found below.

HIPAA Terms and Conditions


Definitions: "HIPAA" shall mean Section 262 of the Health Insurance Portability and Accountability Act, P.L. 104-191 ("HIPAA") which governs the use and transmission of individually identifiable health information. "Legal Requirement" shall mean any law or regulation affecting the use or disclosure of Protected Health Information. "Protected Health Information" shall mean any Protected Health Information as defined in HIPAA or any similar information obtained from individuals as a result of the Customer providing products or services.

Security and Confidentiality: You acknowledge that Protected Health Information requires special safeguarding and agree to abide by the laws of your company, state, and HIPAA regarding the protection and disclosure of Protected Health Information contained in the Site.

Safeguards: You agree that it is your responsibility to implement reasonable and appropriate administrative, technical and physical safeguards to protect the confidentiality, integrity and availability of all Protected Health Information and any and all other confidential information accessible on or through the Site.

Disclaimer of Warranties: All information provided or available through this site is time sensitive as updates to our database records can occur at any time. GEM does not warrant that the information on the site will always be 100% accurate, reliable or correct; that the site will be available at any particular time or location; that any defects or errors will be corrected; or that the content is free of viruses or other harmful components. Your use of the site is solely at your risk. Because some jurisdictions do not permit the exclusion of certain warranties, these exclusions may not apply to you.

Limitation of Liability: under no circumstances shall GEM, its subsidiaries, or its licensors be liable for any direct, indirect, punitive, incidental, special, or consequential damages that result from the use of or inability to use, the site. This limitation applies whether the alleged liability is based on contract, tort, negligence, strict liability, or any other basis, even if GEM has been advised of the possibility of such damage. Because some jurisdictions do not allow the exclusion or limitation of incidental or consequential damages, GEM's liability in such jurisdictions shall be limited to the extent permitted by law.

Copyright: The entire content (including text and "look and feel" attributes) of the Site is protected.
Any use of such content requires the written permission of GEM. All rights reserved.
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