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
- Provider fee schedules
- Formulary updates
- Provider incentives program
- Provider Roster App (PRA)
- Request an exception to the formulary
- Contact Priority Health provider services
- Set up electronic funds transfers
- Set up electronic claims / RAs
Provider news
September 11: 2024 DBM preliminary payments were mailed
September 11: Updated 2024 HEDIS Provider Reference Guide now available
September 11: Transportation assistance is moving to SafeRide for our Medicaid members
September 11: Reminder: Radiation oncology authorization program with EviCore launches September 15
September 11: Updated 2024 PIP Manual now available
September 11: Updates on seeing key provider information in Find a Doctor
August 28: Match member information on claims to member ID and legal identification
August 27: Peer-to-peer policy update delayed for inpatient procedures
August 22: Learn more about our fall Quality initiatives
August 22: New reports coming to help close osteoporosis care gaps
