Tools & Resources - Providers

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 2024 »
EDI Clearinghouse - Availity
Identifying and Treating Patients Who Use Tobacco-Guide
Freedom / Optimum Medicare Provider Manual
Sample ID Card 2024
Case / Disease Management Referral Form
Case / Disease Management Referral Tools

Cultural Competence for Provider Orientation

HealthAxis Provider Portal 3.0 Quick Reference Guide

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.

Clinical Healthcare
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.

SNP Information for Providers
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).

Last updated 03/12/2024