Provider Information & Forms

Below is a list of printable forms and information for our provider’s convenience.

Compliance & Fraud, Waste & Abuse (FWA) Guide & Attestation

Provider Quick Reference Guide

Provider Manuals

 PLEASE NOTE:  FIDA plan will no longer be offered effective Jan 1, 2019.  Claims will still be submitted as appropriate. as appropriate

Provider Contact and Change Status Forms

Wellness and Prevention Form



Provider Newsletters

Balance Billing