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
December 4: Reminder to complete D-SNP MOC training by Dec. 31, 2023
November 28: Class I recall of polyvinyl alcohol 1.4% lubricating eye drops
November 21: November 2023 medical policy updates
November 15: Join us for our next Virtual Office Advisory (VOA) on December 14
November 2: Expanded price transparency with our Cost Estimator tool
November 2: HCC coding shifting to the V28 model starting Jan. 1, 2024
November 2: Patient discharge will move to prism's Member Inquiry tool
November 2: PCMH designations are now in Find A Doctor
November 2: Get our updated 2023 PIP manual
November 2: 2024 commercial fee schedules are available online
