Clinical Health Resources

This section is designed to assist you with the care delivery process. For member eligibility information, please log into our secured Provider Portal.


Clinical Practice Guidelines »

Preventive Screening Guide for Key HEDIS® Measures »

Interqual® Coverage Guidelines »

Your Plan may use Interqual® criteria to make coverage decisions. To review this criteria, click the link above. After you click the link, follow the steps on the screen to first create an account and then login to access Interqual® criteria.

Medical Policies and Clinical Guidelines »

Your Plan may also use medical policies and clinical guidelines used by an affiliated health plan, Simply Healthcare. Click the link above to review these guidelines.

Last updated 03/11/2024