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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.
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Provider Benefit Tool
Login to our online tool to submit and monitor claims.
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Electronic Data Transfer information for providers.
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Appeals, preauthorizations, claims, and payment processing information.
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Member ID cards vary from state to state and by plan type.
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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.
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Utah Provider Network
Learn more about joining our provider network in Utah.
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Learn more about joining our provider network in Idaho.
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Learn more about joining our provider network in Nevada.
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Learn more about joining our provider network in Colorado.
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Fill out the provider application to begin the credentialing process.
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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.
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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.
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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.
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Online tools and reference guides for providers.
Training & Attestation
Compliance and training requirements for providers.
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Compliance Training
Centers for Medicare and Medicaid Services (CMS) requirements for fraud/waste/abuse (FWA) compliance trainings and attestation.
Cultural Competency Training
Cultural competency is the ability to understand, respect, and communicate with individuals from diverse cultural backgrounds.
D-SNP Model of Care Abbreviated Training
Select Health has contracted with the Center for Medicare & Medicaid Services (CMS) to begin a Dual Eligible Special Needs Plan (D-SNP) effective January 1, 2022. This plan type requires developing a detailed Model of Care (MOC) for CMS approval. Effective January 1, 2023, Select Health will reimburse providers at 100% of the Medicare fee schedule for D-SNP.