Providers

• Latest updates
• Claims and billing
• Complaints and grievances
• Forms
• Member wellness resources
• Quality improvement
• Resources and information
• Self-service tools
• Training and education

Resources and Information

Need a form? Have a frequently asked question? Want to read about our policies or compliance initiatives? Use this section to view our provider-centric resources and information.

• Medical necessity criteria:
• Appendix S (PDF)
• Appendix T (PDF)
• Behavioral health topics
  Find guides, resources, and tools compiled to help you better serve members and stay informed about the latest integrated health solutions.
• Complaints and grievances
• Compliance program
• Connecting Physical Health and Behavioral Health
• Contacts: Network Operations and Credentialing
• NaviNet (for Providers who previously used eCura ProviderConnect)
• Forms
• Fraud and abuse
• Policies and notices
• Provider credentialing rights