- Create Provider Directory
- Document Library
- Frequently Asked Questions
- Claims Information
- HIPAA 5010 and ICD10
- Provider Inquiries
- ELECTRONIC SOLUTIONS
- Secure Provider Portal
- EDI Documentation
- User Support & Training
- NETWORK PARTICIPATION
- Provider Nomination
- Credentialing Criteria
Coventry Health Care values the quality care that health care providers give our members. To support that effort, Coventry has multiple options for obtaining the information you need to maximize every patient visit, including our exclusive, free website, directprovider.com.
The prior-authorization process is now quick and easy with our secure online service, directprovider.com. Providers can submit, look-up, or edit authorizations online, at their convenience. And, with our exclusive Adjustment Reconsideration function, providers have the opportunity to request a review/reconsideration of an authorization and submit the documentation online in support of that request.
Coventry prides itself on the EDI tools it has available for its providers and, with directprovider.com, Coventry can boast one of the most multi-functional payer websites available to its providers in the healthcare industry. For more information on directprovider.com, please visit the ‘Secure Provider Portal’ section of this website.
National Imaging Associates
- Beginning April 1, 2015 National Imaging Associates, Inc. (NIA) will manage our new imaging program. Very prior authorizations before scheduling a procedure at RadMD.com
Outpatient Cardiac Catheterizations
- Effective July 1, 2015 the Cardiac Catherization Clinical Guidelines for Coventry Health Care of Iowa can be found at RadMD.com
Prior Authorization Forms
NuFactor (Gammaplex) OP Referral Form
PDF | 111 KB
Manage all your Coventry health plan needs at our secure, one-stop, multi-functional provider portal.