Committed to improving the quality of care:
We work with Provider offices, Physicians, Hospitals, and Facilities to provide better health care and quality for our members.
Partnering WITH you to deliver the best care:
We look forward to continued collaboration with our provider partners to deliver quality care, improve outcomes and increase satisfaction for our members.
On this page, you will find helpful information and resources meant specifically for providers, including information on Utilization Management Guidelines, Medical Policies, and Prior Authorization Guidelines, and more. If you have any questions about information on this website, please contact us.
If you have a difficult case and wish to discuss it with us, please call our main number at 702-216-1653. We are here to help you and committed to excellent customer service whenever you interact with us.
You can trust in us as a URAC accredited organization. The URAC Health Utilization Management Accreditation seal is a mark of distinction for organizations that demonstrate their commitment to quality and accountability to control costs, raise quality, and improve overall health outcomes. https://www.urac.org/about-urac