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How to Use the AHP Provider Manual

 

Organization

The Avera Health Plans (AHP) Provider Manual is organized into the following Sections:

  1. Getting Started
  2. AHP Products
  3. Provider and Member Resources
  4. Operational Processes
  5. Credentialing
  6. Quality Program
  7. Care Management
  8. Pharmacy
  9. Claims  

Updates to the Provider Manual will be posted online as well as communicated in the ProviderView newsletter.   If you have any suggestions for topics that should be included in our Provider Manual, please send your ideas to providers@averahealthplans.com.

 

Viewing

The main page of the Provider Manual is titled, "AHP Provider Manual Search."  Located at the top of this page is our search feature, allowing you to conduct a keyword search to find information quickly.    Simply enter the word or words you are searching for in the box, and select “Search.”  If you did not find what you were looking for by using the keyword search, simply select “Show All” to view the entire Table of Contents.    

 

All of the sections and topics within each section are live links.  This allows you to view information contained within the Provider Manual by section and by topic.  To view an entire section, select the section header.  Subsequently, to view a section topic, select the topic of interest. 

 

To return to the AHP Provider Manual Search page, select the “Back to Search Results” located at the top of the content page (see below). 

 

 

Printing

We encourage you to print sections and or topics that you find helpful.  Each content page has a “Print Preview” option at the top of the page.  Follow these instructions to print your section/topic.

  1. Select “Print Preview” to view the section and/or topic in a printer-friendly format (see above image).   
  2. Select the Print button at the top of the page to print the content page you are currently viewing (see below). 
  3. A new window should open allowing you to select a printer. 
  4. Select the printer you plan to print to and then select the Print button in the lower right-hand corner of the window.
  5. Once you are done printing, select the Cancel button at the top of the page to return to the content page. 

  

To print the entire Provider Manual follow these steps:

  1. Select “Print Manual” on the Table of Contents page. 
  2. Select “Print Manual” to print the entire Provider Manual (approximately 40 pages including the Cover Page and Table of Contents). 
  3. Select the Print button at the top of the page to print the entire Provider Manual. 
  4. A new window should open allowing you to select a printer. 
  5. Select the printer you plan to print to and then select the Print button in the lower right-hand corner of the window.
  6. Once you are done printing, select the Cancel button at the top of the content page to return to the Manual Printing page. 

  

Recommendations

We recommend that you visit the AHP website often!  Updates to the Provider Manual will be posted online as well as communicated in the ProviderView newsletter.  Please add our Provider page to your list of Favorites in your web browser for easy access: 

http://www.averahealthplans.com/ahp/provider/index.aspx

The Provider page contains:

  • Access to ePower©, our online tool to review claims, member eligibility and benefit information;
  • Access to patient specific benefit information;
  • Provider Change Form;
  • ProviderView newsletter;

Contact Us

Please contact the Network Services Department with questions and comments Monday – Friday, 8:00 a.m. – 5:00 p.m. CT at 605-322-4545 or toll-free at 1-888-322-2115.  Our email address is providers@averahealthplans.com.  

 

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