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Providers

Providers' News

Find updates on the latest policies and procedures for providers.

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Coverage Policy and Pre-certification/Pre-authorization

Policy and pre-certification/pre-authorization information for out-of-area members.

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Medical 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.

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Prior approval information for radiological services

Information to assist providers in filing claims, referral requests and other services.

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Referral reminder

Forms for referring patients to specialists or other providers.

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Prescription drug prior approval [pdf]

Access the most up-to-date prior approval drug list for your patients.

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Personal 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