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 Portal
Your one-stop-shop for claims, authorizations, eligibility, document submission, and more.
Provider Toolkit
The basic information and tools you need to efficiently serve your clients and patients.
Claims, Billing, and Payments
Resources and information about claims, remittances, billing codes, and payment.
Notices, News, and Updates
Notices, newsletters, and updates, that can help you keep track of changing health care standards and regulations.
All Provider Forms
Find forms to join our network, update demographic information, get prior authorizations for a patient’s medications, and more.
Provider Manual
Answers questions about everything providers should know about working with us. Also download individual sections (see below for links).
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 – Billing & Claims Processing
Section 10 – Grievances & Appeals
The Quick Reference Guide is a convenient resource when you have questions about the following:
• Claims
• Member services
• Medical management
• Utilization
• Compliance
• Pharmacy
• Participating labs
SelectHealth providers can also find contact information for troubleshooting provider-related concerns on the SelectHealth Provider Reference Guide.
Our partnership with HHAeXchange is designed to streamline the ordering, fulfillment, and billing of paraprofessional services for in-network providers. Visit the HHAeXchange Portal.
Find drug formularies for information about medication coverage and prior authorization request forms for drug coverage exceptions and medications.