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Resources and tools for providers and health care professionals

We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans.

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Provider Portal resources

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Work with us electronically

Our digital solutions offer you the fastest way to find plan information, manage tasks, check statuses and decisions — all without calling.

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Dental

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News

New Mexico: Correct taxonomy and ZIP codes required on claims

Match the taxonomy and ZIP codes to your provider type to avoid claims from getting rejected or denied. Learn more.

New Mexico Medicaid: State changes to claims process

New Mexico HCA and MAD are launching a new claims management system this spring. Learn about payer ID updates and more.

Massachusetts: 2026 D-SNP updates for Senior Care Options, One Care members

Learn more about the 2026 SCO and One Care updates to ID cards, prior authorizations and more.

Real-time payments for claims

Real-time BAI codes added for commercial EFT transactions

AARP Medicare Supplement: Change to overpayment reimbursement process

To simplify the repayment process for overpaid benefits, we’ll offset ACH balances with the amount due. Learn more.

MTM Health managing non-emergency transportation

Starting March 1, 2026, MTM Health will arrange non-emergency medical transportation.