Providers
Medical Providers
Providers' News
Find updates on the latest policies and procedures for providers.
Read Providers' NewsCoverage policy and pre-certification/pre-authorization
Coverage policy and pre-certification/pre-authorization information for out-of-area members.
View coverage policyMedical benefits covered by your patient's health plan
A summary of your patient's medical benefits based on his or her participation with a specific plan.
View benefitsPrior approval information for medical oncology drugs
Information for providers on requesting prior approval for medical oncology drugs.
Learn more about prior approval information for medical oncology drugsPrior approval information for step therapy protocol exception
Information for providers on an exception request process for drugs identified by the health plan as subject to step therapy.
View processPrior approval information for radiological services
Information to assist providers in filing claims, referral requests and other services.
View guidesPersonal Health Record (PHR)
A confidential, electronic medical record with information available from medical claims and testing, along with information provided by the patient.
View PHRMedical Pharmacy
Learn more about pharmaceutical therapies administered by a provider and billed through the medical benefit.
Learn more about medical pharmacy