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Neighborhood Health Plan of Rhode Island
  • Current Members
    • Choose Your Plan
    • Your Health
    • Your Rights & Privacy
    • Your Member News
  • Providers
    • Welcome
    • CVS and Optum Transitions
    • News and Updates
    • Eligibility and Claims Information
    • Become a Network Provider
    • Provider Training
    • Resources & FAQs
    • Compliance
    • Provider Manual & Newsletter
    • Clinical Resources
    • 2019 Pharmacy Resources
    • Provider Appeal Rights
  • Medicare-Medicaid
    • Neighborhood INTEGRITY
    • Office for Civil Rights Notice
    • How to Join
    • Find a Provider or Pharmacy
    • Member Materials
    • Benefits
    • Prior Authorization
    • Out-of-Network Coverage
    • Health Programs
    • Pharmacy Benefits
    • Rights and Responsibilities
    • Disenrollment from Neighborhood INTEGRITY
    • Fraud, Waste and Abuse
    • Grievances and Appeals
    • For Providers
    • Contact Us
  • Become a Member
    • Become a Member
    • Find a Doctor
    • Check Your Meds
Providers  Resources & FAQs
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Resources & FAQs

Prior Authorization Information

Pharmacy Resources

  • Criteria and Forms

Medical Services:

  • Medical Management Request Forms
  • Prior Authorization Reference Guide

Radiology:

  • Radiology Authorization Management Program

Billing & Coding Information

  • Administrative Billing / Coding Guidelines and Payment Policies
  • Health Benefit Exchange Coverage Summaries and Billing Guidelines

Forms

  • Provider Manual Forms

Fee Schedule Look-up

  • Medicaid Products Fee Schedule Look-up

 

  • Welcome
  • CVS and Optum Transitions
  • News and Updates
  • Eligibility and Claims Information
  • Become a Network Provider
  • Provider Training
    • MMP TRAINING ATTESTATION
    • ADA Survey
  • Resources & FAQs
  • Compliance
  • Provider Manual & Newsletter
    • Neighborhood News
  • Clinical Resources
  • 2019 Pharmacy Resources
  • Provider Appeal Rights
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Smithfield, RI 02917
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