Tools & Resources - Providers

This section places critical practice resources at you fingertips. From healthcare to administrative tools, here you'll find the information you need most.

Steps for Compliance Training »

Compliance - Provider/Vendors Training Management System
View and download our FWA Training document; Compliance Training; Conflict of Interest Policy; Standards of Conduct document; and complete the FDR Attestation for mandatory CMS compliance.

Provider Portal - You will be redirected to this website.
Quick and easy access to view member eligibility and claims

Provider Portal User Guide
Clinical Practice Guidelines

Clinical
View and download our Formulary, a copy of our Pre-Certification form, and more.

Claims
Clean claims turn into prompt payments. Use this section to learn how to best submit your claims to us.

Education
See the latest copy of our Provider Manual, the Quick Reference Guide, Sample Member ID cards, and more.

Conflict of Interest Policy and Requirements
View Conflict of Interest Policy and Requirements document.

Forms
Go directly to the forms you need.

HIPAA
Learn more about provider-specific requirements related to the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Last Updated: 11/02/2016