Provider Login
We collaborate with health care professionals through medical management programs designed to simplify the administration and delivery of health care. We're available if questions arise. And we're dedicated to developing innovative responses to continuously improve the quality, efficiency, and efficacy of health care for everyone in our community.
Participating health care professionals can log-in to access clinical guidelines, policies, and other critical information you may need.
Prior Authorizations
- Chemical Dependency:
- Inpatient PA Form | Outpatient PA Form | Re-auth Request
- DME PA Form
- Med/Surg OHP PA Form
- Pharmacy OHP PA Form
- Prior Authorization Lists:
- J Code PA List | Med/Surg PA List
- Synagis:
- RSV PA Form | Synagis PA FAQ's | Synagis PA Guideline
Referrals
- Referral Overview | Referral FAQ's
- CDRC Referral Guidelines
- Referral Form
- LT Portal Links
- Electronic Referral | Eligibility | LT Portal PA Submission Tutorial
- Bariatric Form - PCP
- Search Lipa Line for Diagnosis, Procedures, and Services | Lipa Line Tutorial
- Provider Directory
Other Forms
- Advance Directive Form
- Credentialing / Recredentialing
- National Provider Identifier (NPI)
- NPI Application | NPI Form
- Provider Change of Address
Resources
- Electronic Data Interchange (EDI)
- EDI File Exchange | EDI Enrollment Documents
- Formulary Search
- Lipa Line
- LT Portal (Previously WebSars)