Eligibility & Benefits - Get eligibility and benefit information for members, including deductible and benefit limit accumulators.
Claims - Check the status of your claims, quickly and easily.
Claims Editor What If tool - Access the What If tool to test billing scenarios (for professional services only) and code combinations with our claims editing software and the tool shows specific coding rationale.
Submit Estimate/Claim*- Verify eligibility for benefits, estimate patient share of cost for professional services or for paper claim submitters, option to submit claims in real-time (upon request).
Reference Materials - Access medical policies, payment policies, clinical practice guidelines, and forms.
Find a Doctor - Quickly find physicians and other providers in our networks.
Formulary Search - Get info on generic and brand-name drugs and find copay tier information and alternative drugs.