PHP’s Provider Manual details what you need to know when caring for a plan member. It contains information regarding PHP products, medical resource management and quality improvement programs, billing and claim procedures, ID cards and eligibility verification. The procedures and descriptions of health benefit plans outlined in this manual are intended to cover most contracting situations you and your office staff will encounter. Please note: To the extent that any provision in your participation agreement differs from the requirement(s) described in this manual, the provisions of your participation take precedence.
Provider Manual