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
May 6: We're reprocessing incorrectly rejected Tdap vaccine claims
May 6: Refund forms are required with overpayment checks
May 6: New and updated billing / coding policies are now available
April 30: Reminder to complete our CMS-required D-SNP Model of Care training
April 29: Resolving Medicaid claims that are incorrectly front-end rejecting
April 25: Q2 physician & practice news digest
April 24: July 2024 formulary changes for commercial group and individual members
April 24: ID.me identity verification now required for new prism users
April 24: PriceMyMeds launching on April 25 to increase prescription drug affordability