Current Benefit Information

• Benefit Plans, Cost Sharing
  and ID Cards
• Gold 2008
• Gold Open (Private-Fee-for-Service) 2008
  • Terms and Conditions
• Provider Search
• Provider Service Center

Medical Information

• Medical Benefit Policies
• Medical Benefit Precertification / Prior Authorization List
• Prior Authorization Instructions and Request Form
• Radiology Precertification Program

Forms and Publications

• Operations Bulletins
• Provider Newsletters
• "Who to Call" Contact Information
• Provider Guide
• New Provider Application Request Form

Claim Information

• Electronic Transactions
  • NPI
  • Electronic Provider Transactions
  • Electronic Fund Transfers (EFT)
  • Electronic Explantion of Payment (835 Transaction)
• Claim Form Information
• Claim Research Request Form

Formulary Information

• Formulary Search
• Specialty Pharmacy Drug Program
• Formulary Exception / Prior Authorization Request Form
• Erythropoietin Stimulating Agent Information and Request Form

Quality Health Care Information

• Care Coordination
  • Clinical Guidelines
  • Case Management
  • Disease Management
• Wellness Programs
• Physician Quality Summary
• Select Quality Care
• Member Health Alerts
• Quality/Efficiency Reports

• American Cancer Society
• Centers for Disease Control and Prevention