Toddler recovers in hospital pediatric intensive care unit and plays with a toy yellow bus

Providers

As our partners in health, we want to give you information you need to help your patients. You can find everything you need ranging from contract changes to downloading forms.  

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Alerts and Updates

Stay up-to-date with the latest updates for health care professionals.

COVID-19

During this pandemic, see updates that affect you and our members.

Credentialing

Learn how you can be a credentialed health care professional with us.

NaviNet® Eligibility and Claims

Submit a claim, check claims' status, and verify member benefits and eligibility.

Find a Form

Access forms for change of address, EDI, utilization management and more.

Pharmacy Management

Review the drug formulary as well as the policies and forms for pharmacy.

Policies and Procedures

Access the dental, medical and behavioral policies and procedures manuals.

Preauthorization

Determine what needs a preauthorization and how to submit the request.

Provider Academy

Visit our Provider Academy for eLearning videos, answers to frequently asked questions and more.

Provider Contacts

Get in touch with your provider executive to help answer questions.

Provider Resources

Quick tips and resources, including legislative updates, to assist you as you care for our members.

Quality Guidelines

Download quality guidelines for various conditions and learn about HEDIS®.