Provider Training Manual

This training manual is available for providers delivering care to CoOportunity Health members.

Administrative Information

• Contacts
• Forms
• Administrative Policies and Procedures
• Medical Policies/Coverage Criteria
• Prior Authorizations and Notifications
• Specialty Pharmacy
• CoOportunity Health Products and Information

Claims Information

• Claims Manual
• Quick Submission Guide
• Forms
  • Claim Adjustment Request Form
  • Claim Appeal Form
  • Claim Attachment Form

Quality Management

• Quality Management Overview
• Quality Improvement Program Description

Cultural Care Resources

• Cultural Care Resources Overview
• Starting an Effective Outreach Program
• Translated Materials
• Frequently Asked Questions