Launch Availity

Precertification

Claims & Appeals

Forms

Education & Training

Forms

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This is a library of the forms most frequently used by health care professionals. Looking for a form but don’t see it here? Please contact your provider representative for assistance.

Other forms

• Risk Management Incident Report Form
• Provider Incident Report Form
• Precertification Request Form

Provider tools & resources

• Log in to Availity
• Learn about Availity
• Precertification Lookup Tool
• Precertification Requirements
• Claims Overview
• Member Eligibility & Pharmacy Overview

• Provider Manuals and Guides
• Referrals
• Forms
• Provider Education
• Pharmacy Information
• Electronic Data Interchange

Interested in becoming a provider in the Simply network?

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

Getting started with Simply