Skip to Main content

Provider Resources

As our provider partners, one of Prestige Health Choice's goals is to provide you the resources that you need in a clear, easy-to-find manner. In this section, you'll find items such as member benefit information, credentialing and prior authorization, and how to file a grievance or complaint.

Member information

Other resources

  • Bright Start®
    A maternity case management program providing prenatal and postpartum services.
  • Care gaps
    Find missing recommended services (care gaps) for your Prestige Health Choice members right on Availity. 
  • Credentialing
    Provider credentialing through the Council for Affordable Quality Healthcare (CAQH).
  • Forms
    All the forms you need in one place.
  • Let Us Know program
    A partnership with the provider community in the management of chronically ill members.
  • Pharmacy services
    Drug formularies, pharmacy prior authorization process, and other pharmacy resources.
  • Prior authorization
    Information and processes regarding prior authorization for member treatment and services.
  • Provider appeals
    How to dispute Prestige Health Choice's policies, procedures, or any aspects of Prestige Health Choice administrative functions.
  • Provider manual (PDF)
    Explore the latest provider manual, which now fully incorporates the claims manual.

 If you have questions or require more information, call Provider Services at 1-800-617-5727 to speak to a representative.