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Resources for Health Professionals

Thank you for being part of our provider network. We appreciate all that you do for our members!

This is your gateway to the digital tools, policies, guidance, and materials you and your staff need to deliver high-quality service to your patients and clients in our health plans. We hope these resources make your experience as efficient and rewarding as possible.

Authorizations

Use our provider portal to submit authorization requests and to check the status of existing authorizations.
Login to Provider Portal
How to Obtain Authorizations on the Portal
How to Request Authorizations for Inpatient SNF
Medicare Prior Authorization Requirements

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Provider Portal

Your one-stop shop for claims, authorizations, eligibility, document submission, and more.

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Provider Manual

Answers questions about everything providers should know about working with us.

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Provider Toolkit

The basic information and tools you need to efficiently serve your clients and patients.

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Claims, Billing, and Payments

Resources and information about claims, remittances, billing codes, and payment.

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Credentialing

Information, forms, and other resources for meeting our credentialing criteria.

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Notices, News, and Updates

Notices, newsletters, and updates, that can help you keep track of changing health care standards and regulations.

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Formulary Search

Searchable listing of thousands of drugs for hundreds of ailments and conditions.

All Provider Forms

Find forms to join our network, update demographic information, get prior authorizations for a patient’s medications, and more.

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Quick Reference Guide

A convenient resource for trouble-shooting provider-related concerns.

 

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Helpful Links

Go here for all the forms and documents you need as a network provider.