Provider Manual
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- Appeal a denied claim
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Check patient eligibility
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Plans & benefits
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Authorizations
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Find medical policies
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Procedures & services
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Drugs
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Billing & payment
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Check claim status
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Set up electronic claims/RAs
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Reviews & appeals
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Requirements & responsibilities
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See the compliance policy
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Find provider forms
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Clinical resources
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Seeing Cigna members in MI
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Total Health Care integration
Recent news
(July 28) GuidingCare is updating to the 2021 CMS Inpatient Only list on August 23
(July 27) 3,000+ members take charge of their mental wellness with myStrength
(July 16) MDHHS has updated the billing requirements for G2025
(July 8) Updates to Filemart reporting starting with our July 2021 report release
(July 2) THC providers new to Priority Health: Register for provider training and onboarding
(July 2) Changes to our musculoskeletal authorizations coming Jan. 1, 2022
(June 29) Update to our Spine Center of Excellence program
(May 24) Transition of Care for new Priority Health Medicaid members
(May 6) Learn about upcoming PIP deadlines and changes to our 2021 PIP manual
(May 5) Reminder to complete 2021 D-SNP Model of Care training
(May 5) Read these tips to ensure successful Medicaid billing
(May 3) We’re welcoming Total Health Care to Priority Health
(April 30) Priority Health Connect available to all members
(April 23) July 1, 2021 commercial formulary changes
(April 21) We're bringing automation to the provider information submissions
(April 16) Remind your ACN contacts to register for the May behavioral health collaborative care (BHCC) meeting
(April 16) Reminder: Sports, travel and work-required COVID-19 tests not covered
(April 5) Don't forget to register for PRA training
(March 30) Celebrating National Doctors' Day
(March 23) COVID-19 treatment coverage with $0 cost-share extended to Sept. 30