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Provider Access Point
Preauthorization
Preauthorization
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Preauthorization and Care Plan Tool
The Preauth & Care Plan Tool can be a great timesaver for your practice. Enter Select Health medical preauthorization requests through our online tool. Learn more!
Forms, Lists, and Reports
Forms and requirements for provider preauthorization.
Pharmacy Preauthorization
Prompt PA is Select Health's pharmacy preauthorization tool.
Preauthorization Reports
See Colorado's yearly preauthorization reports.
Claims
Claims
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Provider Benefit Tool
Login to our online tool to submit and monitor claims.
Electronic Data Interchange (EDI)
Electronic Data Transfer information for providers.
Forms & Payments
Select Health helps you access the forms for appeals, information changes, access requests, preauthorization requests, electronic claims payment, and more.
ID Card Guides
Member ID cards vary from state to state and by plan type.
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.
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.
Join Our Networks
Join our health insurance network to expand your reach, access diverse patients, enjoy streamlined processes, and competitive rates. Join our local networks!
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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Provider Reference Manuals
Providers
Publications & Resources
Provider Reference Manuals
Select Health Commercial and Government Plans
Provider Reference Manual (Medicare Advantage, Utah Medicaid, and CHIP)
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Select Health Pharmacy Plans
Provider Reference Manual
Download Manual
Select Health Dental Plans
Provider Reference Manual
Download Manual
Credentialing Policies and Procedures
Provider Reference Manual
Download Manual