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
February 19: New and updated billing policies are available
February 19: February 2025 medical policy updates
February 19: New prior authorization requirement for cardiac procedures effective Apr. 21, 2025
February 19: Provider training and education pages are now in prism
February 17: Resources to support your patients impacted by eating disorders
February 11: We're closing fax number 616.975.8856 effective Feb. 14, 2025
February 5: Get at-home colorectal cancer test kits for your eligible Priority Health patients
February 5: Updated 2025 PIP and DBM program manuals are now available
February 5: Seeing in prism why a claim denied is now easier than ever
February 5: Reminder: Call backs aren't available for missed peer-to-peers for inpatient cases
