This section places critical practice resources at your fingertips. From health care to administrative tools, here you'll find the information you need most.
Medicare Quick Reference Guide
Quick Reference Guide for Clinicians - Treating tobacco Use and Dependence
Freedom / Optimum Medicare Provider Manual
Case / Disease Management Referral Form
Case / Disease Management Referral Tools
PCP Provider Portal Training- Submitting Referrals/Authorizations:
This is a recording of a live training session. After viewing the presentation, should you have any questions, please contact your Provider Relations Representative or our Provider Portal Support Line via phone (813) 506-6127 or email, firstname.lastname@example.org
Register to review your MRA score, diagnosis of your current member, MRA score,HEDIS key measure details for your members.
Compliance - Provider/Vendors Training Management System
View and download our Training document; Compliance Training; Conflict of Interest Policy; Standards of Conduct document; and complete the FDR Attestation for mandatory CMS compliance.
View and download our Clinical Practice Guidelines, a copy of our Prescription Drug List, Pre-Certification process, and more.
Clean claims turn into prompt payments. Use this section to learn how to best submit your claims to us.
See the latest copy of our Provider Manual, Member Disease Management booklets, the Quick Reference Guide, and more.
Conflict of Interest Policy and Requirements
View Conflict of Interest Policy and Requirements document.
No guess work required. Go directly to the forms you need.
Learn more about provider-specific requirements related to the Health Insurance Portability and Accountability Act of 1996 (HIPAA).