Advantra (HMO/PPO) - IA, NE, SD

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Welcome Advantra Providers!

Thank you for contracting with Coventry Health Care.  Coventry provides coverage to members across the country and offers products to a broad cross section of individuals, employers and government-funded groups, government agencies and other insurance carriers and plan administrators.  Coventry is one of the nation’s largest providers of Medicare plans, offering value to Medicare beneficiaries on a local and national basis.

We are glad you decided to partner with us in ensuring the best possible health outcomes for your patients who have chosen to become Advantra members!

Clinical Practice Guidelines




Preventive Health Guidelines




Provider Documents

Prior Authorization Guide
Prior Authorization Coding Changes 5.1.12
Prior Authorization Coding Changes 7.1.12
Provider Manual
Address/TIN Change Form

Provider Reconsiderations & Appeals


Who is My Provider Representative?

Provider Reconsiderations, Appeals, and PHI Authorization




Other Important Information

Wrong Site/Person/Procedure (WSPP) & Hospital Acquired Conditon (HAC)
EFT Enrollment at DirectProvider.com

Advantra

Click here for general information about Advantra.

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Important Documents
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Page Last Updated: 09/09/2014
CMS Approved Date: Approved 02/08/2013
CMS Document ID: Y0022_PDPCCP_2013_4006_1202b

© Copyright 2008-2014 Coventry Health Care

Coventry Health Care is a Coordinated Care plan with a Medicare contract. First Health Part D is a Medicare-approved Part D sponsor. Enrollment in our plans depends on contract renewal.