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Tools and Resources - Providers

This section places critical practice resources at your fingertips. From health care to administrative tools, here you'll find the information you need most.

Medicare Quick Reference Guide
EDI Clearinghouse - Availity
Identifying and Treating Patients Who Use Tobacco-Guide
Freedom / Optimum Medicare Provider Manual
Sample ID Cards 2026
Case / Disease Management Referral Form
Case / Disease Management Referral Tools
SSBCI Eligibility Requirements
Continuous Glucose Monitors

Cultural Competence for Provider Orientation

HealthAxis Provider Portal 3.0 Quick Reference Guide

MRA-HEDIS Portal
Register to review your MRA score, diagnosis of your current member, MRA score, HEDIS key measure details for your members.

Compliance - Provider/Vendors Training Management System
View and download our FWA Training document; Compliance Training; Conflict of Interest Policy; Standards of Conduct document.

Clinical Healthcare
View and download our Clinical Practice Guidelines, Preventive Screening guide for Key HEDIS® Measures; See Lab Codes, Prescribing Information and New Coverage Information.

Claims
Clean claims turn into prompt payments. Use this section to learn how to best submit your claims to us.

Inpatient Readmissions Reimbursement Policy

SNP Information for Providers
See the latest copy of our Provider Manual, Member Disease Management booklets, the Quick Reference Guide, and more.

Forms
No guess work required. Go directly to the forms you need.

HIPAA
Learn more about provider-specific requirements related to the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Page last updated: 11/06/2025