Policies, guidelines, and manuals

 

Access information for assessing coverage options, medical policies, and more.

Provide quality care to our members

 

Wellpoint is committed to supporting you in providing quality care and services to the members in our network. On this page you can access information for assessing coverage options, medical policies, clinical utilization management (UM) guidelines, clinical practice guidelines and support for delivering benefits to our members.

 

 

Provider manuals

 

The Wellpoint provider manuals provide key administrative information, details regarding programs that include the utilization management program and case management programs, quality standards for provider participation, guidelines for claims and appeals, and more.

 

MLTC Provider Manual - Coming soon

 

 

Provider directory

 

Provider search tool 

 

Interested in becoming a provider in the Wellpoint network?

 

We look forward to working with you to provide quality service for our members.

 

Join our network