Providers

Providers 2017-10-26T10:48:43+00:00

Welcome Provider Partners!

Commercial providers and Medicare Advantage providers have convenient access to general and region-specific information through Prominence Health Plan. Choose your region below or scroll to the bottom of the page to browse available resources.

Commercial Providers in Nevada

Commercial providers in Nevada

Join a Nevada network for commercial providers or access administrative forms, claim information, advanced directives and other resources.
Get Provider information >

Commercial Providers in Texas

Commercial Providers in Texas

Join a Texas network for commercial providers or access administrative forms, claim information, advanced directives and other resources.
Get Provider information >

Medicare Advantage Providers in Nevada

Medicare Advantage providers Nevada

Access forms and documents, including a guide to register new accounts, advanced directives, sample member ID cards, a quick reference guide and other resources.
Get Provider information >

Medicare Advantage Providers in Texas

Medicare Advantage Texas providers

Access forms and documents, including a guide to register new accounts, advanced directives, sample member ID cards, quick reference guide and other resources.
Get Provider information >

Provider Resources

Clinical Practice Guidelines >
Get links to evidence-based tools that make the delivery of quality care easier.

Prior Authorization >
View services that require prior authorization for Prominence Health Plan.

Preventive Healthcare >
View guidelines for health screenings, immunization schedules and other preventive healthcare information.

Commercial Prescription Drug and Formulary Information >
Get pharmacy and formulary benefit information, including Specialty Pharmacy care and the Pharmacy by Mail program.

Provider Directories >
Our comprehensive provider network includes many of the most notable and reputable physicians in the region, offering our members excellent access to quality medical services.

Affirmative Statement Regarding Incentives >
Utilization Management decision-making is based only on appropriateness of care and services and existence of coverage.