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- Oct 2018 (FILLABLE PDF)

Provider Portal Registration Tutorial (Video) Jan 2022

Provider Portal Demo (Video) Jan 2022

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 Feb 2023

Make a Referral to Pathways or MATCH

Subscribe to IHP e-Newsletter

e-Newsletter: Current & Past Issues

IHP General Materials

IHP Covered Services- January 2023 (PDF)

IHP Noncovered Services- January 2023 (PDF)

IHP
Medication Searchable Database (PDF)

IHP Participating BEHAVIORAL HEALTH Providers Mar 2023 (PDF)

IHP Dental Benefit Summary & Co-Payment Schedule

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

IHP Dental Q&A -English Oct 2021

IHP Dental Q&A (Spanish)

IHP Guidebook (English) June 2021

IHP Guidebook (Spanish) June 2021

IHP FastCare & Urgent Care Centers - English & Spanish- Aug 2023

MRx Easy Dose