Advantra (HMO/PPO) - PA, OH
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.
Manage all your Coventry health plan needs at our secure, one-stop, multi-functional provider portal.