Provider education
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Visit our coronavirus resource center to learn how we're supporting you and your patients during the pandemic.
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Products and Features
- Product reference – Get a look at the ID cards you will see from our members
- Care Complement – Read more about the unique benefits from our innovative Care Complement program
- Pediatric sick visits – Read more about the pediatric sick visit benefit that's included with many of our plans
- Mass General Brigham ACO – Learn more about our Medicaid ACO line of business
- Allies HMO – Visit our Allies HMO page for information about our product provided in partnership with Newton-Wellesley Hospital
Authorizations & Referrals
- Authorization guidelines – Find out which services require authorizations and referrals.
- Authorization Process for High-Tech & Cardiac Imaging - Speed up authorization approvals and reduce your administrative burden with these 5 tips.
- DME guidelines – Learn more about our DME authorization requirements.
- Fax coversheet – If you fax clinical documentation, follow these instructions to obtain a fax coversheet.
- Denial reconsiderations – Learn more about your options before filing an appeal.
Claims
- Claims information page – Useful information to help you find out where to send your claims.
- Payment guidelines – Our payment guidelines provide information on what is reimbursable and under what conditions.
- Unlisted codes – Learn more about the process for requesting reimbursement for unlisted codes.