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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.

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