- Create Provider Directory
- Document Library
- Frequently Asked Questions
- Claims Information
- Prior Authorizations
- HIPAA 5010 and ICD10
- Provider Inquiries
- ELECTRONIC SOLUTIONS
- Secure Provider Portal
- EDI Documentation
- User Support & Training
- NETWORK PARTICIPATION
- Provider Nomination
- Credentialing Criteria
We take great pride in our network of physicians and related professionals who serve our members with the highest level of quality care and service. We are absolutely committed to making sure our providers receive the best possible and latest information, technology and tools available to ensure their success and their ability to provide for clients.
At Coventry, we focus on operational excellence, constantly striving to eliminate redundancy and streamline processes for the benefit and value of all of our partners. Learn why providers have chosen to join us as their partners in managed health care.
- Easy and simple experience
- Operational excellence
- Financial discipline
- Empowering environment
We value the doctors, hospitals and all health care professionals who participate in our networks, and we are dedicated to meeting your needs for ease and convenience. With that goal in mind, we have expanded our online services with a unique electronic solution. Coventry’s directprovider.com simplifies the historic paper process and accelerates claims processing and information flow management so data is readily available to providers as soon as they need it.
Our physicians and ancillary health care providers are key to the quality plans and service we promise clients. At Coventry, we believe in putting exceptional people in an empowering environment where individuals are accountable for their efforts. As a team we strive to support each other and exceed expectations.
Carelink from Coventry Provider Documents
Carelink from Coventry marries the leading patient care expertise of local, high-performance health systems with the service and administrative expertise of Coventry. The combined forces are a true partnership that delivers a seamless experience of holistic care.
This patient-centric model engages a local PCP who establishes a personal relationship with each member. Carelink PCPs are a distinguished group of providers who have made the commitment to new and better ways of providing personalized health care. Working with the local, high-performance health system that includes network specialists and other network providers, the PCP is the hub of care for the individual’s medical needs. The PCP can recommend the right tests and preventive care and coordinate care like never before.
As always with Coventry, health care decisions are between members and their trusted doctors. Individual assessments, care planning and setting individualized goals offer the ultimate value and help deliver optimal results.
Access the Carelink from Coventry website at carelinkcoventryhpn.com.
Our network includes more than 4,800 hospitals, 555,000 professional providers and 68,000 pharmacies. Our ever-expanding network speaks to our client satisfaction. We are proud of our track record of success and aggressive growth supported by exceptional service.
Secure Provider Portal
Coventry’s free online provider portal, directprovider.com, allows you to access critical information wherever and whenever you need it. This innovative and secure tool is available with all Coventry Health Care plans and provides direct connection to data management for up-to-date information.
Manage all your Coventry health plan needs at our secure, one-stop, multi-functional provider portal.