Check patient eligibility
To confirm that a patient is a current Priority Health plan member, call the Provider Helpline at 800.942.4765, option 1.
Save time - use our Member Inquiry tool
Once you have an online account with us, you can log in to use our online tools.
The online Member Inquiry tool lets you:
- Check eligibility and contract history
- Check address and phone
- Update COB information
- See out-of-pocket limits
- See deductible balance(s)
- See copays and coinsurance
- See many benefits/coverages, such as DME, home health care, maternity, prosthetic/orthotic
Create a prism account
Get access to our online member eligibility, authorizations and claims tools.
Provider manual
- Authorizations
- Billing & payment
- Procedures & services
- Reviews & appeals
- Drugs
- Medical policies
- Provider forms
- Seeing Cigna members
- Requirements & responsibilities
- Clinical resources
- News
- Fraud, waste & abuse policy
- Join our networks
- Check patient eligibility
- Data exchange
- Set up electronic claims
- Set up electronic funds transfer (EFT)
- Check claim status