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Coverage policy and pre-certification/pre-authorization
Find out which procedures are covered by your policy or if your procedure requires prior authorization.
View coverage detailsHealth Information Network (HIN)
Provides access to patient information including demographics, eligibility and benefits, claims, claim submission, claim correction, claim status, remittance advices, fee schedules, and more.
Learn more about HINValue-based programs
Learn more about our value-based care program, which rewards providers for coordinating care and for positive health outcomes.
View value-based careProviders' News
Find updates on the latest policies and procedures for providers.
Read Providers' NewsMedical Pharmacy
Learn more about pharmaceutical therapies administered by a provider and billed through the medical benefit.
Learn more about medical pharmacy