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Preauthorization
Preauthorization
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Preauthorization & Care Plan Tool
Enter preauth requests through this easy to use online tool.
Forms and Reports
Find important preauth forms and reports.
Pharmacy Preauthorization
Prompt PA is Select Health's pharmacy preauthorization tool.
Gold Card Program
The Gold Card Program offers providers preauth leniency.
Claims
Claims
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Provider Benefit Tool
The Provider Benefit Tool (PBT) is for claims and eligibility review.
Eligibility
ID cards are the best method to understand member benefits and eligibility.
Payments
Learn about our payment process and enroll in the Zelis Payment Network.
Electronic Data Interchange (EDI)
Electronic Data Transfer information for providers.
Policies
Policies
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Medical Policies
Access Select Health Medical Policies in PDF form listed alphabetically.
Medical Coding Reimbursement
Access individual coding and reimbursement policies in PDF form.
Dental Coding Reimbursement
Access Select Health Dental policies listed individually in alphabetical order.
Policy Update Bulletins
Monthly bulletin that outlines new, revised, and archived policies.
Join Our Networks
Join Our Networks
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Utah Provider Network
Learn more about joining our provider network in Utah.
Idaho Provider Network
Learn more about joining our provider network in Idaho.
Nevada Provider Network
Learn more about joining our provider network in Nevada.
Colorado Provider Network
Learn more about joining our provider network in Colorado.
Programs
Programs
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Quality Provider Program
This team-based healthcare delivery model enhances health outcomes for patients.
Care Management
Our team of trained professionals helps members manage chronic or complex conditions.
Quality Ribbon Transparency (QRT)
The QRT program compares provider’s scores to national standards.
Pharmacy and therapeutics
Information for providers on formularies, pharmacy tools, and other resources.
Behavioral Health
Resources for behavioral health providers on credentialing, claims, and more.
Dental
Dental provider resources related to claim payments, online tools, and plans.
Risk Adjustment
Our method to offset the cost of care for members with chronic health conditions.
Government Programs
Learn more about our plans facilitated through government programs.
Publications & Resources
Publications & Resources
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Provider Insight
Quarterly newsletter that includes important information for your practice.
Provider News Digest
Stay informed with the latest Select Health news, updates, and provider education.
Resources & Training
Tools, trainings, and important resource information for providers.
Provider Reference Manuals
Used by physicians and contracted facilities as policy and procedure guides.
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Risk Adjustment
Risk adjustment is a method by which HHS and CMS offset the cost of providing health care for individuals with chronic health conditions.
Providers
Programs
Risk Adjustment
Risk Adjustment Training
Learn more about the Risk Adjustment program, hierarchical condition categories, and the member journey in this quick training.
Learn about Risk Adjustment
Guides and Guidelines
Find detailed program information, including flyers, materials, incentives, guidelines, and visits.
See Guides and Guidelines
Dashboards and Reports
Support for providers in reporting accurate documentation and coding by encouraging provider clinics to submit claims files to Select Health.
See Billing Claims Reports
