Information for providers outside of Michigan seeing a Priority Health member
The Cigna OAP network is our preferred network for out-of-state coverage for participating commercial plan members. These members have access to Cigna's quality health care network that features nearly one million health care providers nationwide when the travel outside the state of Michigan.
Members with Cigna OAP network coverage will have the Cigna logo on their member ID card. For eligibility and benefits information or treating a Priority Health member with an HMO plan for a non-emergent service, providers should call the Priority Health out-of-state helpline at 833.300.3628.
Looking for Cigna OAP participating providers?
Authorizations
Providers outside of Michigan should visit our authorizations page or call the Priority Health out-of-state helpline at 833.300.3628 to determine authorization requirements.
Billing
Electronic claims submission:
Use Priority Health payer ID 38217
Submit paper medical claims:
Priority Health Claims
P.O. Box 232
Grand Rapids, MI 49501
Reminder: Make sure your remittance address is correct on your claims. This will help us ensure timely payment. To update the remittance address we have on file, you can submit an update through our provider portal, prism, or call our Provider Helpline at 800.942.4765 for assistance.
Surprise billing legislation
On Oct. 22, 2020, Governor Witmer signed two bills into law that prohibit providers from sending surprise bills to patients.