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:
- Account Executive contact information (PDF)
- Appropriate usage of claims modifiers 25 and 59 (PDF)
- Preventive Services Quick Reference Guide (PDF)
- Become a patient centered medical home (PCMH)
- Care for Older Adults Form (PDF)
- Claim inquiry form (PDF)
- Clinical resources
- CMS Five-Star Quality Rating System (PDF)
- Credentialing
- Did You Know? Cholesterol-Lowering Medications (PDF)
- Grievances and appeals
- Marketing activities and compliance
- Member wellness brochure: Live Well at Any Age - Seven tips to help you live a healthy, happy life as you grow older (PDF)
- 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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