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

 

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Date Name
06/01/2020 P40-20 New Medical, Medical Drug and Behavioral Health Policy Management Updates – Effective August 3, 2020
06/01/2020 P44-20 Radiation Oncology Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers – eviCore Healthcare Specialty Utilization Management (UM) Program
06/01/2020 P43-20 Cardiology and Radiology Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers – eviCore Healthcare Specialty Utilization Management (UM) Program
06/01/2020 P45-20 Updated Minnesota Health Care Programs and Minnesota Senior Health Options (MSHO) Prior Authorization and Medical Policy Requirements
06/01/2020 P42-20 Laboratory Management Clinical Guideline Updates and CPT Code Updates for Fully Insured Commercial and Medicare Advantage Subscribers – eviCore Healthcare Specialty Utilization Management (UM) Program
05/27/2020 QP47-20 Provider Cost Data Update
05/13/2020 QP44-20 Non-Covered Medicare Services and Organization Determination Reminder for Platinum Blue and Medicare Advantage Subscribers
05/13/2020 QP46-20 Validation of National Drug Codes Submitted with Medical Drug Claims
05/13/2020 QP43-20 Medical Drug Update for New to Market Valoctocogene Roxaparvovec (Valrox)
05/13/2020 QP20R1-20 Update: Medical Drug Update for Teprotumumab (Tepezza)

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