Critical Provider Manual Updates and New Claims Process

All provider manuals for Massachusetts and Rhode Island product lines have been updated to reflect the April 1, 2023, implementation of our new claims platform and the Availity® Essentials Provider Portal.

Critical updates have been made to the following:

• Key Contacts in Section 1
• Claims and Billing Procedures in Section 6

Updated provider manuals include eligibility, claims, key contacts and more. 

To access the provider manuals, click below.

Massachusetts:

• Senior Care Options / One Care Provider Manual
• Medicare Advantage Prescription Drug Provider Manual

Rhode Island:

• Medicare Advantage Prescription Drug Provider Manual