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Preauthorization
Preauthorization
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Preauthorization and Care Plan Tool
The Preauth & Care Plan Tool can be a great timesaver for your practice.
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
Appeals, preauthorizations, claims, and payment processing information.
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
Fill out the provider application to begin the credentialing process.
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 & 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.
Policy Update Bulletins
Monthly bulletin that outlines new, revised, and archived policies.
Tools and Services
Online tools and reference guides for providers.
Training & Attestation
Compliance and training requirements for providers.
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D-SNP Model of Care Abbreviated Training
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Provider Tools & Services
Provider and Facility Search
Search for providers and facilities by network, location, specialty, and whether they are accepting new patients.
Avalon Tools and Services
Avalon is a laboratory benefits manager that partners with health plans like Select Health to offer a comprehensive suite of laboratory benefit management services, including laboratory utilization policies and routine testing management.
Preventive Care Guidelines
A key to prevention for adults is having recommended cancer screenings, especially colorectal cancer screening for adults ages 45 to 75.
Language Services
Select Health offers interpreters to support a variety of patient needs. If you have a patient that is deaf, blind, have a hard time hearing or speaking, or if they speak a language other than English, call Member Services at 800-538-5038 to obtain access to someone who can communicate with your patient free of charge.
Intermountain Services
Together with Intermountain Health, we form a not-for-profit health system committed to going beyond treating illness and injury by encouraging healthy behaviors that can lead to longer, more fulfilling lives.
ACIP Updates
ACIP is a committee within the Centers for Disease Control and Prevention (CDC) that provides advice and guidance on effective control of vaccine-preventable diseases in the U.S. civilian population. Made up of medical and public health experts who develop recommendations that serve as public health guidance for safe use of vaccines and related biological products.
Colorado Network Access Plan
Select Health uses the network adequacy standards set forth by the Colorado Division of Insurance. Select Health determines network adequacy by measuring both time and distance standards to provide efficient access to our members.