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Electronic Data Interchange (EDI)
: Resource for the Health Insurance Portability and Accountability Act (HIPAA) requirements and testing.
Forms for Providers
HealthConnect Blue
: Health information and interactive health coaching.
Prior Authorization Information for Radiological Services
Provider Manual
: Policies and procedures to assist providers in filing claims, referral requests and other services.
Providers' News
: Quarterly publication.
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Advantage PFFS Information
Medi-Pak® Advantage Terms and Conditions:
Information regarding Medi-Pak® Advantage Terms and Conditions.
National Provider Identifiers
(39 KB PDF)
Network Participation Guidelines
Provider Directory
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Standard Formulary
:
Three-Tier Formulary
(2894 KB PDF)
Essential Care Formulary
Commonly Prescribed Drugs
(45 KB PDF)
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(80 KB PDF)
Dental Claims filed before January 1, 2008
Dental Claims filed after January 1, 2008
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: Interactive voice response telephone system.
Network Development Representatives
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