The Prime Provider Handbook is issued upon joining our national
PPO network. The Provider Handbook is a supplement to the
Participating Provider Agreement, which can be located by clicking here.
The Provider Handbook welcomes you into our network and offers
information on processes that aren't fully addressed in the
provider agreement. Processes such as identifying covered persons,
how and to whom a claim should be submitted and how to file a
dispute are all located in the handbook. As you know each PPO
network you join has a slightly different method of performing
these necessary tasks and our Provider Handbook will guide you
through these steps.
In addition to these processes, the Provider Handbook provides a
history of Prime Health Services and information regarding pre
certification/utilization review of services and our credentialing
and re-credentialing programs.
Lastly, but equally as important, the Provider Handbook explains
the process of how to either download the complete Prime Client
Directory or how to have this directory sent via e-mail each month
To view a copy of Provider Handbook, please click here.