Forms
- Appointment of Personal Representative
- Coordination of Benefits
- Pharmacy Prior Authorization Request (PAR) / Exception Request
- Authorization to Use and Disclose PHI
- DHHA Reimbursement
- Subscriber Access to Spouse or Adult Dependent Claims
- Complaints / Appeals
- Emancipated Minor Restriction of Claims Access
- Transition of Care Request
Documents
- Advance Directive/ Living Will
- Employer Group Plans Service Standards
- Medical Prior Authorization List
- Employer Group Plans Access to Care
- How to Read Your EOB
- Out-of-Area Coverage for Dependents