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
January 27: Related readmissions policy updates coming Apr. 27, 2023
January 26: Reprocessing Medicare inpatient hospital claims submitted 12/14/22 - 1/25/23
January 19: We're retiring level II audit appeals on Mar. 19, 2023
January 18: More provider types accepted for hospice, home health claims
January 3: Doula services covered by Medicaid effective Jan.1, 2023
December 27: Medicare therapy cap changes effective Jan. 1, 2023
December 23: Edits Checker tool gets an upgrade
December 23: How we're addressing claims impacted by the 340B-Acquired Drugs ruling
December 23: Update to secondary claims process effective Mar. 1, 2023
December 19: We've updated our 2023 ACA-compatible plan fee schedules
