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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.

Provider Toolkit

The basic information and tools you need for efficient service of your clients and patients.

Claims, Billing, and Payments

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

Credentialing

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

Notices, News, and Updates

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

Formulary Search

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

All Forms

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

Access Provider Portal

Access the Availity Portal to check member eligibility, claim status, and more.

Provider Manual

Answers questions about everything providers should know about working with us. Also download individual sections. See below for links.

Quick Reference Guide

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

 

Helpful Links

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