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Provider forms

Find general Priority Health forms for providers below.

On other pages in this section you'll find:


AIM Imaging Authorization Request fax form (38KB PDF)

Appointment of Representative (Priority Health Medicare) (55KB PDF) - Updated 11/2008

Behavioral Health / PCP Coordination of Care (407KB PDF) - Can be filled out online and printed. Updated 03/2009

Change Notification form (206KB PDF) - Updated 07/2010

Change Notification form, non-participating providers (67KB PDF) - Added 05/2010

Claim Refund Check form (152KB PDF)

CPT Code Add Request form (31KB PDF) - Updated 11/2009

Credentialing application forms for organizational providers


Direct deposit and electronic funds transfer (EFT) forms

Both forms need to be submitted to set up electronic claim payments.

Domestic Violence Screening Questions & Documentation (228KB PDF)

Electronic Claim Registration Form (33K PDF) - Updated 08/2007

HealthbyChoice Incentives forms:

HIPAA forms


Home Health Care Services discharge form (21KB PDF) - Updated 08/2008
Complete online and save it for your records, then print and fax it to Priority Health.

Immunization Exception Documentation, Childhood
(immunization refusal waiver) (16KB PDF) - Updated 12/2008

Medical Services Coverage ("waiver" or "acknowledgment" form for when services not covered): Use "Patient Acknowledgement of Financial Responsibility," below

Medical Services Questionnaire (27KB PDF) - Updated with new fax number 4/2010

Mid-level Physician Extender Information form (40KB PDF) - Updated 12/2008

Modifier 22 Explanation form (17KB PDF) - Updated 08/2006

NPI Number Notification form - Individual Practitioner (Type 1) (116KB DOC)

NPI Number Notification form - Group (Type 2) (115KB DOC)

Non-adherent member exclusion form (63KB PDF) - Updated 09/2010
Complete online and save it for your records, then print and fax it to Priority Health.

Non-participating Provider Change Form (67KB PDF) - Added 05/2010

Notice of Medicare Non-Coverage form (566KB PDF) - Updated 01/2010
Complete online and save it for your records, then print and fax it to Priority Health.

Patient Acknowledgment of Financial Responsibility (103KB PDF) Updated 03/2009

Patient Discharge form (38KB PDF) - Updated 01/2007

Preliminary Provider Information form (Behavioral Health providers only) (131KB PDF) - Updated 04/2008

Prenatal Class (Healthy Encounters Maternity) billing form (54KB PDF) - Updated 06/2010

Prior Authorization form, general (515KB PDF) - Updated 12/2009
Complete online and save it for your records, then print and fax it to Priority Health.

Provider Demographic Change Notification form (160KB PDF) - Updated 04/2010

Provider Dispute Resolution Request Form (89KB PDF) - Updated 06/2010

Referral to Non-Participating Provider (31KB PDF) - Updated 12/2009
Complete online and save it for your records, then print and fax it to Priority Health.

Specialty pharmacy fax forms


Well child exam forms

Last modified 09/02/10