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Information for Members





























Information for Providers























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Information for Providers

Paramount utilizes a variety of provider networks consisting of physicians, hospitals and ancillary providers to deliver care.  Providers can access this section to review specific areas of interest including:

  • Physician credentialing process
  • Recent provider communications and updates
  • Utilization management information
  • Links to other web-based physician information services like Web MD
  • Provider DIRECT - Paramount's DIRECT access portal offering DIRECT access to member eligibility and benefits, claims information, and referrals/authorizations inquiry and submittal. 

Advantage Pharmacy Carve-Out Frequently Asked Questions

Advantage emergency/post-stabilization claim payment for non-par providers

Behavioral Health Expertise Directory

Advantage RX Carve-Out

Clinical Practice Guidelines

Credentialing Process

Disease Management

e-Business Guide

ECS Vendor/Clearinghouse List

Healthchek - Information and Forms

Interpreter Services

Medical Policy

Patient Safety For Providers

Paramount Advantage Provider Manual

Provider Bulletins

Provider Forms

Physician Councils

Provider DIRECT

Provider Performance

Quality Improvement

Required Annual Training for Medicare Advantage Providers

Tobacco Cessation Program

Utilization Management