Resources
Opioid information from the Centers for Disease Control and Prevention (CDC)
Keystone First VIP Choice understands how important it is to form and maintain outstanding relationships with our health care providers. Together, we will strive to accomplish our mission—to improve the quality and accessibility of care to our members.
Our participating providers can use this section of our site to access frequently needed resources, including:
- 275 claims attachment transaction instructions PDF
- Account Executive contact information PDF
- Appropriate usage of claims modifiers 25 and 59 PDF
- Preventive Services Quick Reference Guide PDF
- Care for Older Adults (COA) Form PDF
- Claim inquiry form PDF
- Clinical resources
- CMS Five-Star Quality Rating System PDF
- Credentialing
- Dental Provider Supplement PDF
- Grievances and appeals
- Marketing activities and compliance
- NaviNet User Guide PDF
- Plan Comparison PDF
- Prior authorization
- Prior Authorization Lookup Tool
- Prior authorization - behavioral health
- Provider manual PDF
- Provider Reference Guide PDF
- Quality resources
- Service area map PDF
- Waiver of liability form for non-participating provider appeals PDF
- Payer ID - 77741
- Paper claims submission:
Keystone First VIP Choice
Claims Processing Department
P.O. Box 7143
London, KY 40742-7143
Check back frequently, since we update this section to include the latest information for our providers. Our participating providers can also call Keystone First VIP Choice Provider Services at 1-800-521-6007.
If you are not yet a participating provider, and you would like more information on the benefits of partnering with us, contact Provider Services at 1-800-521-6007.
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