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 24: May medical policy updates include new prior authorization requirements
May 23: New clinical edit for professional claims starts July 23
May 19: Register for the June 8 Virtual Office Advisory
May 16: Reminder: Include the disputed code in your claim appeals
May 12: Reminder: PrEP-related HIV screenings and office visits are a preventive benefit
May 11: We're transitioning to 2023 InterQual starting July 10
May 9: Two Midnight Rule: Our UM practices remain unchanged
May 8: Q2 physician and practice news digest
May 4: Michigan Medicaid redetermination is restarting June 1, 2023
May 2: CPT code 99222 no longer accepted for authorization requests
