PRISM FAQs and GUIDES

PRISM FAQs

• FAQs for Providers on PRISM
• Electronic Batch FAQ

PRISM Release Notes

• • Future PRISM Proposed Release Notes (updated 2.25.2026)
    • These are the "proposed" changes for an upcoming PRISM release and are subject to change based on prioritization of the defects and their impacts
  • PRISM Release Notes (updated 02.20.2026)

Provider FAQs

• Provider FAQ: PRISM Access, Submitting Claims, Finding & Uploading Documents opens in a new tab
• Provider FAQ: Eligibility, Billing and Claims opens in a new tab
• Provider FAQ: Electronic Data Interchange (EDI) opens in a new tab
• Remittance Advice Remark Codes (RARC) opens in a new tab

Quick Reference Guides

• Enrolling as an FAO
• Enrolling a Provider with an Applicant Type of Individual Sole Proprietor opens in a new tab
• Enrolling a Provider with an Applicant Type of Rendering opens in a new tab
• Provider Enrollment: Managing the information of a Provider opens in a new tab
• Provider Enrollment: How to complete the required agreements opens in a new tab
• Document Management Portal Quick Reference Guide for Providers
• Member Eligibility Inquiry in PRISM opens in a new tab
• PRISM Reference Guide: Submitting Payment Information for Medicare or Other Insurance opens in a new tab
• Provider Reference: Information about PRISM training resources and system changes that will impact providers opens in a new tab
• Provider Account Administrator Manual opens in a new tab
• Provider Addresses and Locations opens in a new tab
• How to Avoid Provider Enrollment Closures
• Business Process Wizard-Step Remark Resolution Guide opens in a new tab
• Uploading an Attachment in PRISM opens in a new tab
• Professional DDE Claims in PRISM User Manual

Multi-Factor Authentication Process

• March 2021 Interim MIB.pdf opens in a new tab
• Multi-Factor Authentication Registration Instructions opens in a new tab