Tools and 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
The Quick Reference Guide provides telephone, fax numbers and Plan information

Click here to view the 2019 Sample ID Card
Click here to view the 2020 Sample ID Card

Quick Reference Guide for Clinicians - Treating tobacco Use and Dependence
This Quick Reference is for Clinicians

Case / Disease Management Referral Form »
This form is for a member that is being referred to a Nurse, Social Worker, or both

Case / Disease Management Referral Tools »
Case & Disease Management Referral Guide

Compliance – Provider/Vendors Training Management System
View and download our FWA Training document; Compliance Training; Conflict of Interest Policy; Standards of Conduct document.

Clinical Healthcare
View and download our Clinical Practice Guidelines, a copy of our Prescription Drug List, Pre-Certification process, and more.

Claims
Clean claims turn into prompt payments. Use this section to learn how to best submit your claims to us.

Provider Manual
See the latest copy of our Provider Manual.

Conflict of Interest Policy and Requirements
View Conflict of Interest Policy and Requirements document.

Forms
No guess work required. Go directly to the forms you need.

HIPAA
Learn more about provider-specific requirements related to the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Last updated 10/03/2019