Provider Resources Overview
HealthKeepers, Inc. is committed to supporting you in providing quality care and services to the members in our network. Find frequently used forms, training resources, manuals and guides, prior authorization information, referral information, and other support.
Provider forms
Find the forms you need to care for your patients — all categorized for quick access in our convenient online library.
Policies, guidelines and manuals
Get key information on covered services, utilization management, clinical guidelines, health services programs, claims procedures and reimbursement policies.
Prior authorizations
HealthKeepers, Inc. makes medical necessity determinations for select inpatient, outpatient, pharmacy and major diagnostic procedures.
Learn about Availity
Many of the tools you use — such as eligibility or benefits inquiries, claims submission or status, and prior authorization requests — can be easily accessed from your Availity account.
Referrals
Get detailed information on coordinating referrals to a PCP, specialist, facility or pharmacy in a member’s plan.
Provider Training Academy
Access training and tutorials offered by HealthKeepers, Inc. that support providers in caring for our members and continuing their education.
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn About Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Policies, Guidelines & Manuals
- Referrals
- Forms
- Provider Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)