Priority Health vendor/supplier requirements

Thank you for your interest in doing business with Priority Health. Our organizational mission is to improve health, inspire hope and save lives. We strive to achieve this mission through our values of compassion, collaboration, curiosity and courage. These values are outlined in our standards of conduct, the Code of Excellence.

We place the utmost importance on the observance of the principles of our Code of Excellence and expect all with whom we do business to conduct themselves accordingly. All vendors/contractors will be held accountable for their actions, and violations of the law or of the policies and principles of Priority Health will not be excused or tolerated.

Priority Health vendors, suppliers and business partners are required to take two different types of compliance training:

  • General compliance training
  • Fraud, waste and abuse training

Training program materials are available below to complete this requirement.

We recognize that some vendors/suppliers have already made an investment in general compliance and fraud, waste and abuse training for their teams that meet regulatory requirements, and these will be considered sufficient. However, those individuals who have physical access or access to our network will be required to take Priority Health general compliance training, fraud, waste and abuse training, and HIPAA Privacy & Security training, which is deployed annually on an individual basis. Other training may be required, depending on the individual’s role.

Download and review the Medicare Parts C & D General Compliance training and then go to Medicare Parts C & D Fraud, Waste and Abuse training.

Compliance program and Code of Excellence

Priority Health requires all parties that work with us to comply with all laws and regulations. In addition, Priority Health has in place a Code of Excellence with the goal of ensuring that all applicable federal, state, and local laws and regulations are followed. Priority Health has also implemented a policy to detect, address and prevent issues of fraud, waste and abuse.

Policies that impact vendors:

Learn more about reporting fraud, waste and abuse.

Vendors/suppliers who service the Priority Health Medicare Advantage and Prescription Drug (MAPD) program

If your work is related to our Medicare program, you may be considered a First Tier, Downstream and Related Entities (FDR) organization. Review the guide for more information.