For providers
Your essential tools
Provider portals
Sign in to any of the provider portals.
Manuals
View our policies and procedures that affect claim submissions.
Medical management
See our medical policies and prior authorization requirements.
Pharmacy services
Resources that help you determine what prescriptions are best for your patients.
See drug formularies
See drug formularies
Additional resources + tools
Prior authorization
Musculoskeletal, Interventional Pain Management, Cardiology and Radiology
Behavioral health
Genetic testing
Musculoskeletal/NIA - Prior to 10/01/2024
Radiology/NIA - Prior to 10/01/2024
Behavioral health
Genetic testing
Musculoskeletal/NIA - Prior to 10/01/2024
Radiology/NIA - Prior to 10/01/2024
HIPAA transactions
Learn how to get set up and use our electronic data interchange.
Newsletter
Behavioral health education
Our behavioral health provider education annual training is a series of slides for in-network behavioral health providers navigating care to individuals enrolled in a Prevea360 Health benefit plan.
Your patients
Your patients' plan benefits
See certificates of coverage, policies and member handbooks.
Provider Network Services team
Not in the network?
If you are interested in joining the Prevea360 Health Plan Network, submit an online Provider Network Application. This form guides you through the sections of information we need to review your request. Once we receive your request, our Provider Network Services team will contact you.
If you have questions about the application, contact the assigned Provider Network Consultant for your territory.