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
June 21 Online peer-to-peer requests, 2022 InterQual criteria coming to GuidingCare
June 15 Hep C initiative for Medicaid members
June 15 Behavioral Health license expansion - policy update
June 10 Age limits removed for ASD coverage
June 3 New clinical edits are going into effect
June 3 Medicaid claims rejection issue resolved
May 31 June 2022 PRA attestation period opens June 6
May 25 May 2022 medical policy updates
May 24 New HEDIS® provider guide now available
May 20 New clinical edit and medical policy for pain management
