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Resources and tools for providers and health care professionals

We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans.

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Work with us electronically

Our digital solutions offer you the fastest way to find plan information, manage tasks, check statuses and decisions — all without calling.

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News

Prepare for new Choice Plus network members

Effective Jan. 1, 2026, St. Louis Painters Welfare Fund members have access to the Choice Plus network.

Idaho Medicaid: New billing changes for diabetes equipment and supplies

On April 1, 2026, the billing of diabetes equipment and supplies will shift from medical to pharmacy benefits.

Control how you get paid from members

Health care providers now have more visibility and control over how they receive payments from members.

New simplified radiation therapy prior authorizations

On Jan. 1, 2026, certain radiation oncology codes will be updated to help simplify prior authorizations.

Your 2026 Provider Administrative Guide is ready

The Provider Administrative Guide for Commercial, Individual Exchange and Medicare Advantage plans is updated for 2026.

New York City Employees PPO plan: What you need to know

Ensure your practice is aware of the plan features, network distinctions and support resources.