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Provider Resources

Helpful resources designed just for our providers—including clinical, pharmacy, network management, and more.


  • Clinical Guidelines

    Clinical guidelines that we use to determine the medical necessity of services that require authorization.
  • Network Management

    Credentialing, education, support, and contact information.
  • Pharmacy

    Check our drug formularies and prior authorization requirements.
  • Provider News

    Read current and past issues of The Point—our provider newsletter.
  • Comprehensive Visit

    Information about the Medicare Wellness Visit and annual physical exam.
  • Primary Care Performance Payment Model

    Current year's payment model details, including service updates, payment criteria, and amounts.