Forms & publications for healthcare providers

Find documents including forms, provider publications, how-to-guides and e-commerce specifications. 

Provider demographic updates and contracting forms

Prior authorization

Product/network guides

 

Select “Date” or “Name” below to sort.

Date Name
05/03/2021 P20-21 Removal of Four Medicare Platinum Blue Prior Authorization Requirements — Effective June 1, 2021
05/03/2021 P22-21 Updated Minnesota Health Care Programs and Minnesota Senior Health Options (MSHO) Prior Authorization and Medical Policy Requirements
05/03/2021 P21-21 RAP Claims Required for Home Care Claims Effective July 1, 2021
05/03/2021 P24-21 2021 Renewal Changes Summary for Aware Professional Providers
05/03/2021 P30-21 eviCore Healthcare Specialty Utilization Management (UM) Program - Cardiology and Radiology Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers
05/03/2021 P28-21 Updated Prior Authorization Requirements for Psychological and Neuropsychological Testing for Commercial and Medicare Advantage Products
05/03/2021 P32-21 eviCore Healthcare Specialty Utilization Management (UM) Program – Musculoskeletal Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers
05/03/2021 P29-21 Reimbursement Change for Licensed Professional Clinical Counselors (LPCC)
04/01/2021 P17-21 eviCore Healthcare Specialty Utilization Management (UM) Program – Medical Oncology Drug Prior Authorization Updates for Fully Insured Commercial and Medicare Advantage Subscribers
04/01/2021 P19-21 Updated Minnesota Health Care Programs and Minnesota Senior Health Options (MSHO) Prior Authorization and Medical Policy Requirements

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