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PROVIDERS
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PROVIDER MATERIALS

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

Provider Manual
(PDF)

Provider Registration Form (FILLABLE PDF)

Provider Claims Appeals+ Adjustments Request Form (PDF)

Provider Claim Inquiry Status Form (PDF)

Provider EOB Description List (PDF)

WHP Medication Quick List (PDF) Jan 2020

WHP Provider Pharmacy Prior Auth Form (PDF)

WHP General Billing Information (PDF)

WHP Member Information Change Form (PDF)

PROVIDER QUICK LINKS

Claim & Billing Information Claim Status Look-up Clinical Information Formulary Member Eligibility Look-up Provider Enrollment Provider Materials
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Programs

  • Ingham Health Plan
  • Pathways to Better Health
  • Ingham Asthma Match
  • Washtenaw Health Plan

Help

  • Frequently Asked Questions
  • Do I Qualify
  • Make a Payment
  • Provider Page

Company

  • About Us
  • Contact Us
  • P.O. Box 30125
  • Lansing, MI 48909
  •  
  • planmanagement@ihpmi.org
  • 866-291-8691
  • 517-394-4590
© 2016 INGHAM HEALTH PLAN CORPORATION