Provider Manual
Check Out Our Provider Manual
The Prime Provider Manual is issued upon joining our national PPO network.
The Provider Manual is a supplement to the Terms & Conditions Booklet, which can be located by clicking here.
The Provider Manual welcomes you into our network and offers information on processes that aren’t fully addressed in the Provider Agreement and the Terms & Conditions Booklet. Processes such as identifying covered persons, how and to whom a claim should be submitted and how to file a dispute are all located in the manual. As you know each PPO network you join has a slightly different method of performing these necessary tasks and our Provider Manual will guide you through these steps.
In addition to these processes, the Provider Manual provides a history of Prime Health Services and information regarding pre-certification/utilization review of services and our credentialing and re-credentialing programs.
Lastly, but equally as important, the Provider Manual explains the process of how to either download the complete Prime Client Directory or how to have this directory sent via e-mail each month to you.