Provider Resources

Provider Education

Premier Health Group helps to make it easy for providers to find the information they need about claims, reimbursement and more.  Find and download information about claims procedures, clinical practice guidelines, and adult and pediatric preventive care guidelines.

D-SNP Attestation Survey 

Premier Health Plan launched a Medicare Advantage Dual Eligible Special Needs Plan (D-SNP). The Centers for Medicare & Medicaid Services require all network physicians receive training on the D-SNP Model of Care. This training can be taken two ways.

Transgender Surgeries Memo

Read a Centers for Medicare & Medicaid Services coverage determination about transgender surgery.  Learn more.

How to File a Claim

Get submission guidelines, information about claims documentation, codes and modifiers, and reimbursement.  Learn more.

Clinical Practice and Preventive Health Guidelines

Download information about Premier Health Plan’s clinical practice and adult and pediatric preventive health guidelines.