PROVIDER MATERIALS

Missing materials? Below is a list of items you can access online or reprint as needed.

Provider Specific Materials

IHP Provider Manual- July 2023 (PDF) *Also reference Covered Services PDF below.

Provider Registration Form- Feb 2025 (FILLABLE PDF)

Provider Portal Registration Tutorial (Video) Jan 2022

Provider Portal Demo (Video) Jan 2022

How to View IHP Member DENTAL Benefit Apr 2025

Provider Claims Appeals+ Adjustments Request Form (DOC)

Provider Claim Inquiry Status Form- Oct 2018 (PDF)

Provider EOB Description List- Dec 2020 (PDF)

Member Information Change Request Form- Sept 2020

Prior Authorization Request Form

IHP Behavioral Health Benefit Description MAR 2024

Make a Referral to Pathways to Better Health

Make a Referral to MATCH Asthma

Subscribe to IHP e-Newsletter

e-Newsletter: Current & Past Issues

IHP General Materials

IHP Covered Services- Feb 2025 (PDF)

IHP Noncovered Services- Feb 2025 (PDF)

IHP
Medication Searchable Database (PDF)

IHP Participating BEHAVIORAL HEALTH Providers APR2025 (PDF)

IHP Dental Benefit Summary & Co-Payment Schedule

IHP Dental Benefit Summary & Co-Payment Schedule (SPANISH)

IHP Member Welcome Guide (English) Apr 2025

IHP Member Welcome Guide (Spanish) Apr 2025

IHP Walk-In & Urgent Care Centers - English & Spanish- Feb 2025

MRx Easy Dose