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| Working with us | Using your health plan | Resources |
|---|---|---|
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Enrollment
Enrolling new employees, making status changes and setting up open enrollment
Eligibility
Determining employee and dependent eligibility
Terminations
Terminating an employee's or dependent's coverage
Reinstatement
How to reinstate a terminated or laid-off employee
Billing
Our billing structure and what your bill looks like
Claims
How we process claims and where to send claim forms
Coordination of Benefits
What to do when an employee has more than one health insurance provider (This link takes you outside the Employer Manual.)
Grievances
How to file a complaint (This link takes you outside the Employer Manual.)
Mandated & continuing coverage
Enrolling employees and/or dependents in COBRA, in a group conversion plan or per a qualified medical child support order (QMCSO)
Confidentiality
Priority Health's member confidentiality policy and procedure |
These links take you outside the Employer Manual to other sections of this website.
Health plans
Details about your plan and all of our health plans
Find a Doctor
Participating doctors, hospitals, pharmacies and other health care providers
ID Cards
When cards will arrive, how to use them, ordering replacements, etc.
Emergency & urgent care coverage
When going to the ER is covered and what copays apply
Dependent student coverage
When and how full-time students are covered |
Account creation
Get access to our online tools so you can track your group's billing and enrollment info and more
Online tools
A walk through our online tools and how to use them
Who to contact
From Customer Service to your sales representative - how to get in touch with anyone
Forms
Forms you need to do business with us |
