Providers
Medical Providers
Providers' News
Find updates on the latest policies and procedures for providers.
Read Providers' NewsCoverage Policy and Pre-certification/Pre-authorization
Policy and pre-certification/pre-authorization information for out-of-area members.
View coverage policyMedical benefits covered by your patient's health plan
A summary of your patient's medical benefits based on his or her participation with a specific plan.
View benefitsPrior approval information for radiological services
Information to assist providers in filing claims, referral requests and other services.
View guidesPrescription drug prior approval [pdf]
Access the most up-to-date prior approval drug list for your patients.
View drug listPersonal Health Record (PHR)
A confidential, electronic medical record with information available from medical claims and testing, along with information provided by the patient.
View PHR