Provider Manual
- Appeal a denied claim
- Approved Drug List
- Authorizations
- Check claim status
- Check patient eligibility
- compliance policy
- Correct a claim
- Request a drug authorization
- File a claim
- Participate with Priority Health
- See medical policies
- Find provider forms
- Cigna Strategic Alliance
- Clinical resources
- Information on COVID-19 for Providers
- Medication Therapy Management (MTM) Program
- Specialty pharmacy process
- Provider fee schedules
- Formulary updates
- Provider incentives program
- Provider Roster App (PRA)
- Request an exception to the formulary
- Contact Priority Health provider services
- Set up electronic funds transfers
- Set up electronic claims / RAs
Provider news
September 26: Medicaid routine vision benefits administered by EyeMed beginning Dec. 1
September 19: Verify your Find A Doc listing with BetterDoctor
September 19: Reminder: Review your NPI data with NPPES
September 15: Visit our updated Medicaid billing webpage
September 15: Unspecified Codes clinical edit coming October 11
September 6: Reminder to complete the 2022 D-SNP Model of Care provider training
September 1: September is suicide prevention awareness month
August 30: New prior authorization requirements for bariatric surgery coming October 31
August 29: Reminder: Save remittance advice files within 90 days
August 25: Join us for our new PriorityPROs Connect virtual event
