Provider Manual

The PrimeWest Health Provider Manual contains information to help providers with a range of issues. Topics covered include requirements for providers, health care programs and services, billing policies, Service Authorization information, and specific sections for various provider types. If you need additional assistance, contact the Provider Contact Center and we will be happy to assist you.

 

join our network

Join Our Network

Contracting and credentialing forms and information

eligibility and benefits section

Member Eligibility

Information on member eligibility, benefits, and rights and responsibilities

medical policies and guidelines section

Medical Policies & Guidelines

Information on medical policies and guidelines
 

authorization section

Authorizations

Authorization criteria and forms
 

claims and payment section

Claims & Payment

Claim submission tools and New Facility Claim Requirements

medical, dental and pharmacy section

Medical, Dental, & Pharmacy

Information and resources on covered benefits

 

PW_2011_233
Updated_10/26/2018