Provider Manual
- Appeal a denied claim
- Approved Drug List
- Authorizations
- Check claim status
- Check patient eligibility
- compliance policy
- Correct a claim
- Request a drug authorization
- File a claim
- Participate with Priority Health
- See medical policies
- Find provider forms
- Cigna Strategic Alliance
- Clinical resources
- Information on COVID-19 for Providers
- Medication Therapy Management (MTM) Program
- Specialty pharmacy process
- Formulary updates
- Request an exception to the formulary
- Contact Priority Health provider services
- Set up electronic funds transfers
- Set up electronic claims / RAs
Provider news
May 20 New clinical edit and medical policy for pain management
May 19 New clinical edits for professional and facility claims
May 18 Site of service restrictions for oncology infusions
May 13 We're working to resolve Medicaid claims being rejected incorrectly
May 9 Virtual Care Partners launching for commercial large groups July 1
May 9 New billing guidance for follow-up colon cancer screenings
Apr. 19 CMS' Two-Midnights Rule doesn't apply to Medicare Advantage members
Apr. 19 Safely dispose of unneeded prescription drugs on April 30
Apr. 14 New virtual care billing requirements for FQHCs and RHCs
Apr. 13 Reporting other insurance on Medicaid claims for Vision, NEMT and MIHP providers
