Advantra (HMO/PPO) - PA, OH

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Welcome Advantra Providers!

Thank you for contracting with Coventry Health Care, Inc.  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!

Please visit our commercial site for more provider information.  Also explore the rest of Coventry's provider pages for helpful information.

Clinical Practice and Preventive Services Guidelines

Coventry adopts evidence-based Clinical Practice Guidelines and Preventive Services Guidelines from nationally recognized sources. You can access the CPGs and PSGs here.

Advantra Provider Information

CPT Codes for Prior Authorization
Changes to Prior Authorization Requirement effective January 1, 2014.
Notice of Medicare Non-Coverage
Notice of Medicare Non-Coverage (NOMNC) Letter
Notice of Medicare Non-Coverage Letter Instructions
Form Instructions for the Notice of Medicare Non-Coverage (NOMNC), “The Advance Notice” Letter
Provider QI Manual
Selecting this link will direct you to the Provider document library on the HealthAmerica Commercial site where you can find this document.
Diabetes Flow Sheet
Selecting this link will direct you to the Diabetes Flow Sheet on the HealthAmerica commercial site.
Women's Health Visit Flow Sheet
Selecting this link will direct you to the Women's Health Visit Flow Sheet on the HealthAmerica commerical site.
HealthAmerica Statewide Provider Manual
Selecting this link will direct you to the HealthAmerica Statewide Provider Manual on the HealthAmerica commercial site.

Advantra

Click here for general information about Advantra.

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Important Documents
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Y0022_PDPCCP_2013_4006_1202b Approved
CMS Approved Date: 02/08/2013
Page Last Updated: 11/13/2015

© Copyright 2008-2016 Coventry Health Care

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.