Priority Health compliance policy
Priority Health requires all parties that work with us to comply with all laws and regulations. This policy ensures that providers, contractors and vendors are aware of applicable federal and state laws designed to prevent and detect fraud, waste and abuse. In addition, this policy provides information about whistleblower protections.
Compliance training and information
The reputation for excellence and integrity at Priority Health is built on the hard work and responsible conduct of the thousands who have worked with and for us over many years. Our Compliance Program and Code of Excellence shape this culture of compliance. Our Compliance Program and Code of Excellence apply to you as an important business partner. The two documents are provided below for your review.
*The Spectrum Health Code of Excellence pdf has been updated to reflect the correct President and CEO as Ms. Freese.
- Check patient eligibility
- Plans & benefits
- Medical policies
- Procedures & services
- Billing & payment
- Set up electronic claims
- Set up electronic funds transfer (EFT)
- Check claim status
- Reviews & appeals
- Requirements & responsibilities
- Clinical resources
- Fraud, waste & abuse policy
- News & education
- Request an online account
- Join our networks