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.
The basic information and tools you need for efficient service of your clients and patients.
Resources and information about claims, remittances, billing codes, and payment.
Information, forms, and other resources for meeting our credentialing criteria.
Notices, newsletters, and updates, that can help you keep track of changing health care standards and regulations.
Searchable listing of thousands of drugs for hundreds of ailments and conditions.
Find forms to join our network, update demographic information, get prior authorizations for a patient’s medications, and more.
Access the Availity Portal to check member eligibility, claim status, and more.
Answers questions about everything providers should know about working with us. Also download individual sections. See below for links.
A convenient resource for trouble-shooting provider-related concerns.
Section 1 – Programs, Benefits, and Covered Services
Section 2 – Provider Networks
Section 3 – Eligibility and Membership
Section 4 – Regulatory and Quality Reporting Requirements
Section 5 – Primary Care
Section 6 – Delegated Vendor Operations
Section 7 – Ancillary and Other Special Services
Section 8 – Medical Management
Section 9 – Billings and Claims Processing
Section 10 – Grievances and Appeals
The Quick Reference Guide is a convenient resource when you have questions about the following:
• Member Services
• Medical Management
• Participating Labs
SelectHealth providers can also find contact information for troubleshooting provider-related concerns on the SelectHealth Provider Reference Guide.
Our partnership with HHAX is designed to streamline the ordering, fulfillment, and billing of paraprofessional services for in-network providers.