Provider Materials
Manuals
Compliance Forms
Provider Addition and Change Forms
Credentialing Forms
Appeal Forms
Preauthorization and Referral Forms
- Preauthorization Request Form
- Illinois Uniform Electronic Prior Authorization
- Substitution Code Crosswalk Table
- Provider Reference Checklist – CCR
- Provider Reference Checklist – EviCore
- Provider Reference Checklist – Outpatient
- Provider Reference Checklist – Post Acute
- Provider Reference Checklist – Transplant (Admissions)
- Provider Reference Checklist – Transplant Center
- SNF Clinical Checklist
ePayment Information
Digital Tools and Guides
- Preauthorization Overview for Providers and Office Personnel
- eviCore Resources
- Provider Process Improvement Flyer
Provider Education Tools
Pharmacy
Forms
Health Alliance Northwest Emergency Fill List
High Risk Medications
Drug Lists
Generics
Formularies
Medicare
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Self-Funded
Medicare Information
Star Ratings Fliers
- 2018 IL Medicare Star Ratings Flier
- 2018 IL Medicare Star Ratings Flier – Spanish
- 2018 IA Medicare Star Ratings Flier
- 2018 IA Medicare Star Ratings Flier – Spanish
- 2018 WA Confluence Medicare Star Ratings Flier
- 2018 WA Confluence Medicare Star Ratings Flier – Spanish
- 2018 WA Pioneer Medicare Star Ratings Flier
- 2018 WA Pioneer Medicare Star Ratings Flier – Spanish
- 2018 WA SignalAdvantage Medicare Star Ratings Flier
- 2018 WA SignalAdvantage Medicare Star Ratings Flier – Spanish
- 2018 Reid Medicare Star Ratings Flier
- 2018 Reid Medicare Star Ratings Flier – Spanish