Provider Self-Service Tools
The information you need is available to you online, 24/7. Our Provider self-service tools help you get the most out of partnering with us.
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- Consumer Assessment of Healthcare Providers and Systems (CAHPS)
- Cultural Competency
- Educational WebinarsEducational Webinars
- Electronic ID CardsElectronic ID Cards
- GuidelinesGuidelines
- Comprehensive Diabetes Care (CDC)
- Pediatrics/Adolescents Management
- Pharmacotherapy Management of COPD Exacerbation (PCE)
- Use of Imaging Studies for Low Back Pain (LBP)
- HealthSphereHealthSphere
- HorizonDocs
- Interactive HEDIS GuidelinesInteractive HEDIS Guidelines
- Appropriate Testing for Pharyngitis (CWP)
- Cervical Cancer Screening (CCS) – HEDIS Measure
- Childhood Immunization Status (CIS) (Combination 10) – HEDIS Measure
- Childhood Immunization Status(CIS)
- Chlamydia Screening in Women (CHL) – HEDIS Measure
- Immunizations for Adolescents (IMA) – HEDIS Measure
- Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) – HEDIS Measure Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) – HEDIS Measure
- Well-Child Visits in the First 30 Months of Life (W30) – HEDIS Measure Well-Child Visits in the First 30 Months of Life (W30) – HEDIS Measure
- Manuals & User GuidesManuals & User Guides
- Agreements
- Ancillary Manual Ancillary Manual
- The BlueCard® Program
- Claims Submissions and Reimbursement
- Coordination of Benefits
- HIPAA
- Horizon Behavioral Health℠
- Horizon Hospital Network
- Identification
- Inquiries, Complaints and Appeals
- Member Rights and Responsibilities
- Patient-Centered Programs
- Patient Health Support
- Policies, Procedures and General Guidelines
- Products
- Provider Responsibilities
- Quality Management
- Quality Recognition Programs
- Referrals
- Service
- Utilization Management
- Hospital Manual Hospital Manual
- Claims Submissions and Reimbursement
- Coordination of Benefits
- HIPAA
- Horizon Behavioral Health
- Identification
- Inquiries, Complaints and Appeals
- Patient Health Support
- Patient-Centered Programs
- Policies, Procedures and General Guidelines
- Products
- Programs Administered by eviCore healthcare
- Quality Management
- Quality Recognition Programs
- Service
- The BlueCard Program
- Utilization Management
- Participating Physician and Other Health Care Professional Office Manual Participating Physician and Other Health Care Professional Office Manual
- At Your Service
- The BlueCard Program
- Claims Submissions and Reimbursement
- Coordination of Benefits
- HIPAA
- Horizon Behavioral Health
- Horizon Hospital Network
- Identification
- Inquiries, Complaints and Appeals
- Member Rights and Responsibilities
- Patient-Centered Programs
- Patient Health Support
- Payment Summaries and Vouchers
- Policies, Procedures and General Guidelines
- Products
- Provider Responsibilities
- Quality Management
- Quality Recognition Programs
- Referrals
- Service
- Special Programs
- Utilization Management
- Welcome Kit Handbook
- Network Specialists
- Provider Self-Service ToolsProvider Self-Service Tools
- Drug Authorizations Tool
- Eligibility and Benefits Cost Share Estimator
- NaviNet
- Prior Authorization Procedure Search Tool
- Provider Data Maintenance Tool
- Videos
- Provider communications resources
- Quality Resource CenterQuality Resource Center
- Educational Materials Educational Materials
- Achieving Success in Quality Improvement
- Quality Management 2021 Webinars Quality Management 2021 Webinars
- Overview
- Adult Measures
- Pediatric Measures
- ADHD
- Asthma
- Achieving Quality Compliance
- Resources
- What’s the Code?
- Lead
- Clinical Documentation Improvement
- Telehealth
- Optimizing Monthly Results and Recognition Quality Reports
- Horizon Docs
- Risk Adjustment
- What’s the Code?
- Results & Recognition Program
- TrainingTraining
COVID-19
Stay informed.
Get the latest information on COVID-19.
Get the latest information on COVID-19.