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
January 13: Telemedicine billing updates effective Jan. 1, 2025
January 10: Register now for our January 30 billing & coding webinar
January 9: Reminder: HMA members have access to Priority Health’s network
January 8: New & updated billing policies are now available
January 8: Reminder: Corrected claims must include the original claim ID
January 7: Non-urgent inpatient hospital transfers will require prior authorization effective Mar. 10, 2025
December 23: We're extending IV fluid shortage support through Mar. 31, 2025
December 19: Reminder: You must complete our 15-minute, CMS-required D-SNP Model of Care training by Dec. 31
December 18: Register now for our 2025 provider webinars
December 17: Medicare therapy cap changes effective Jan. 1, 2025
