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
May 14: May 2025 billing policy updates
May 14: May 2025 medical policy updates
May 14: New DME authorization requirement for Q0508, effective July 15
May 1: Partnering with Arine to improve medication adherence for PPO members
April 30: Commercial and Medicaid formulary changes taking effect
April 30: Monthly record retrieval for the 2025 DBM program
April 30: Our Medicaid Maternal Incentive Program rewards members for prenatal care
April 30: Register now for our May 15 provider webinar on behavioral health and Medicare & Medicaid quality
