Provider Manual
- Appeal a denied claim
- Approved Drug List
- Authorizations
- Check claim status
- Check patient eligibility
- compliance policy
- Correct a claim
- Request a drug authorization
- File a claim
- Participate with Priority Health
- See medical policies
- Find provider forms
- Cigna Strategic Alliance
- Clinical resources
- Information on COVID-19 for Providers
- Medication Therapy Management (MTM) Program
- Specialty pharmacy process
- Provider fee schedules
- Formulary updates
- Provider incentives program
- Provider Roster App (PRA)
- Request an exception to the formulary
- Contact Priority Health provider services
- Set up electronic funds transfers
- Set up electronic claims / RAs
Provider news
April 22: Reminder: Keep your practice information updated in our Find a Doctor tool
April 17: Our processes for submitting drug coverage authorization requests and appeals
April 17: We're collecting medical records for our Medicare retrospective review
April 17: National Prescription Drug Take Back Day April 26
April 17: Reminder: You must complete our 15-minute, CMS-required D-SNP Model of Care training by Dec. 31
April 16: New and updated billing policies are now available
April 14: Update: Reinstating standard IV fluid billing and payment rules on June 1, 2025
April 2: Update to corrected claims goes into effect June 2
April 2: Authorization appeal update goes into effect June 2
