Provider responsibilities and standards
We're here to help your office operate as effectively as possible. This section links you to the information you need to create and maintain a participating relationship with Priority Health.
General office setup and standards
- Responsibilities of office and staff
- Compliance with fraud & abuse prevention
- Requirements for treating Medicare patients
- Accessibility and availability standards (location, hours)
- Changes to contact information, staff, or online accounts
- Requesting and using NPI numbers
- Accessing and using online Provider Center accounts on this website
Credentialing and recredentialing
Contracts
Data exchange (HL7, 5010 electronic data interchange, electronic fund transfers)
Provider status
- Locum tenens
- Opening or closing to new members
- Moving a practice and mass transfer of members
- Closing a practice and mass transfer of members
- Sanction and suspension
Patient status - Treating yourself and your family
- Transferring patients
- Discharging patients
- Extension of care
Record keeping
Confidentiality
Site visit review standards
