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Recursos para profesionales de la salud

Thank you for being part of our provider network. We appreciate all that you do for our members!

Esta es su puerta de entrada a las herramientas digitales, políticas, guías y materiales que usted y su personal necesitan para brindar un servicio de gran calidad a sus pacientes y clientes de nuestros planes de salud.We hope these resources make your experience as efficient and rewarding as possible.

Portal para proveedores

Your one-stop shop for claims, authorizations, eligibility, document submission, and more.

Kit de herramientas para proveedores

The basic information and tools you need to efficiently serve your clients and patients.

Reclamaciones, facturación y pagos

Resources and information about claims, remittances, billing codes, and payment.

Obtención de credenciales

Information, forms, and other resources for meeting our credentialing criteria.

Avisos, novedades y actualizaciones

Notices, newsletters, and updates, that can help you keep track of changing health care standards and regulations.

Búsqueda del formulario

Searchable listing of thousands of drugs for hundreds of ailments and conditions.

Todos los formularios para proveedores

Find forms to join our network, update demographic information, get prior authorizations for a patient’s medications, and more.

Manual para los proveedores

Answers questions about everything providers should know about working with us. 

Quick Reference Guide

A convenient resource for trouble-shooting provider-related concerns.

 

Helpful Links

Go here for all the forms and documents you need as a network provider.