provider portal -

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Provider Portal - www.chesterfieldresources.com Providers should click on the link that says “click HERE to log in…” Registered users should enter their username and password. To create a new provider account, providers should click on “Create Provider Account” on the Login Page:

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Page 1: Provider Portal -

Provider Portal - www.chesterfieldresources.com

Providers should click on the link that says “click HERE to log in…”

Registered users should enter their username and password.

To create a new provider account, providers should click on “Create Provider Account” on the Login Page:

Page 2: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Page 3: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Please Note: If the provider does not have (or does not know) his/her NPI, all 9s can be entered in the NPI field.

Page 4: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Page 5: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Provider Home Page:

Page 6: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Verify Eligibility:

Please Note: The “Member ID” field requires the ID number from the member’s medical identification card. If you do not have the member’s medical identification card/number, you can enter their social security number under the “SSN” field.

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Provider Portal Overview – www.chesterfieldresources.com

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Patient Claims:

Page 8: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Forms/Other Documents:

Contact Us:

About Us:

Page 9: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Submit Document:

Please Note: When adding attachments to a submission, please ensure that the file name does not include any special characters. Valid characters are alphanumeric, space, underscore, hyphen, and period ONLY.

Page 10: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Address Update:

The “Address Update” tab should be completed. If the new address is for 1099 purposes, a W-9 form should also be attached.

Page 11: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Submit Dental Information:

The “Dental Submissions” tab should be completed:

Page 12: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Then, click the attachments tab:

Then browse for the file and click "Add":

Once added, a message will appear that the document has been uploaded successfully:

The user should then return to the "Dental Submissions" tab and click the "Submit" button.

Page 13: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Submit Medical Records:

The “Medical Records Submit” tab should be completed:

Page 14: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Then, click the attachments tab:

Then browse for the file and click "Add":

Once added, a message will appear that the document has been uploaded successfully:

The user should then return to the "Medical Records Submit" tab and click the "Submit" button.

Page 15: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Submit Medicare EOB:

The “MEOB Submit” tab should be completed:

Page 16: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Then, click the attachments tab:

Then browse for the file and click "Add":

Once added, a message will appear that the document has been uploaded successfully:

The user should then return to the "MEOB Submit" tab and click the "Submit" button.

Page 17: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Submit W-9:

The “W-9 Submit” tab should be completed:

Page 18: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Then, click the attachments tab:

Then browse for the file and click "Add":

Once added, a message will appear that the document has been uploaded successfully:

The user should then return to the "W-9 Submit" tab and click the "Submit" button.

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Provider Portal Overview – www.chesterfieldresources.com

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Submit a Claim:

The “Provider Claim Submission” tab should be completed:

Page 20: Provider Portal -

Provider Portal Overview – www.chesterfieldresources.com

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Then, click the attachments tab:

Then browse for the file and click "Add":

Once added, a message will appear that the document has been uploaded successfully:

The user should then return to the "Provider Claim Submission" tab and click the "Submit" button.