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
Oct. 19 Increased Star Ratings, more opportunities to deliver high-quality care
Oct. 15 We're upgrading to 2021 InterQual® criteria for select services
Oct. 12 Don't forget: You can still serve THC members with commercial group and individual plans
Oct. 12 prism is live; thanks for your patience
Oct. 07 We're upgrading to 2021 InterQual® criteria
Oct. 1 2022 PCP Incentive Program (PIP) preliminary manual is now available
Sept. 28 Assist members newly transferred from THC products with updating their medications
Sept. 21 Receive PIP credit through new gaps in care campaign
Sept. 20 Priority Health provider training for THC providers is available on demand
Sept. 17 prism delayed a few weeks
Sept. 10 Demos and FAQ available for prism
Sept. 8 Reminder: Complete your D-SNP Model of Care training
