Medical providers

Coverage policy and pre-certification/pre-authorization

Coverage policy and pre-certification/pre-authorization information for out-of-area members.

Find updates on the latest policies and procedures for providers.

Information for providers on requesting prior approval for medical oncology drugs.

Information for providers on an exception request process for drugs identified by the health plan as subject to step therapy.

Information to assist providers in filing claims, referral requests and other services.

A confidential, electronic medical record with information available from medical claims and testing, along with information provided by the patient.