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
June 23: June 2025 billing policy updates
June 18: We're reprocessing physical therapy claims due to a payment error
June 13: Medicaid coverage changes in process for Stelara IV and Stelara IV biosimilars
June 11: Updated 2025 HEDIS Provider Reference Guide
June 11: ACNs can still opt into our Exact Sciences colorectal cancer screenings campaign
June 11: Reminder: HMA members have access to Priority Health’s network
June 6: Reminder: You must complete our 15-minute, CMS-required D-SNP Model of Care training by Dec. 31
June 5: Reprocessing 2025 CRNA claims due to payment error
June 5: Mandatory action for prism Security Administrators: Annual pSA renewal process
May 28: Stelara IV coverage changes coming
May 28: Remittance advices for May 2025 care management checks are being delivered late
