text size   

Participate with Priority Health

New clinical edits tool

Coming in February

Auth Request tool

Delayed until mid-2012

Medicare formulary changes
Effective Jan. 1, high-risk medications removed from the formulary.
PCMH

Results of our three-year study

Find best practices

In the clinical resources section, we've collected clinical practice guidelines, practice management and patient education tools to help you provide quality care for a variety of conditions.

Go to Clinical resources now.

Get Started Guide

The top things to know when your first Priority Health patient arrives, all on one page!

Online tools for providers

Check eligibility, authorization status and claims, and manage your patients' health with our suite of provider tools.

See short online video demos of each tool.

Recent changes

(02/09/2012) Pending medical policy for Cardiovascular Risk Markers takes effect

(02/09/2012) Pending medical policy for Colorectal Cancer Screening takes effect

(02/01/2012) Clinical edits information updated

(01/25/2012) Erwinaze, Eylea, Jakafi and Lazanda prior authorization forms added

(01/16/2012) New medical policy on Spine Centers of Excellence, pending

(01/09/2012) New medical policy on Balloon Sinus Ostial Dilation

(01/09/2012) New medical policy on Cardiovascular Risk Markers pending 

(01/09/2012) New medical policy on Colorectal Cancer Screening pending

(01/02/2012) 2012 updates to preventive service codes

(11/30/2011) November formulary updates

(11/18/2011) Adcetris, Nuedexta, Suboxone, Xalkori and Zelboraf prior authorization forms added

Last modified: 2/13/2012
Life just got a little easier

You need to install a Flash plugin to see this video.