Provider Dashboard

Select from the options below:

Health plan, contract, and program information

Appendices, clinical criteria, and treatment guidelines

Clinical, administrative, and EAP forms

Learn More

Info for claims submission, including Availity Essentials provider resources

Claims

Medical Necessity Criteria (MNC), also known as clinical criteria

Video tutorials which help providers navigate and perform tasks

Upcoming Webinars
08/10/22 @ 2:00PM Claims Submission Guidelines
08/17/22 @ 2:00PM eServices Overview
08/18/22 @ 3:00PM Follow-Up After Hospitalization/HEDIS Measure Overview
08/18/22 @ 4:00PM Potential Quality of Care/Serious Reportable Events
08/24/22 @ 2:00PM ProviderConnect Overview
More Upcoming Webinars Webinar Archive

Behavioral Health Concerns
More Upcoming Webinars Webinar Archive

Provider Spotlight
Psychological/Neuropsychological Testing Update
Psychological/Neuropsychological Testing CPT Code Changes Effective 1/1/2019
ABA CPT Coding Changes Effective 1/1/2019
Payspan
Important Tools
The Valued Provider eNewsletter
Medicare Advantage Providers: Required CMS Compliance Training
ICD-10 Provider Frequently Asked Questions

“More than 4,500 employees nationally, serving more than 40 million people.”
“Over 260 clients, including employers, Fortune 500 companies, health plans, and state and local governments.”

Helpful Links.

Nondiscrimination Notice
Select Language