Section Banner Image

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

National Participating Provider Precertification List (NPL) - always access document for current precertification requirements. - Your Online Solution

Coventry’s free online provider portal,, 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 including:

  • Eligibility
  • Member ID Cards
  • Claims Inquiry
  • Remittance Advices
  • Authorization Submissions / Inquiry / Update
  • Resource Library
  • Benefits
  • Interqual criteria

A superior online tool, is designed and maintained to the highest standards, promising accurate information and faster access to the information you need, when you need it.

It allows providers the ability to verify Eligibility benefit information before services are rendered.  The Claim Inquiry section provides the ability to view claims by status (Paid, Pended, Denied, Rejected, etc.), and search for claims by member, claim number, or date range, for any 30-day period, with up to 3 years worth of claims history available.  Claims disposition codes are easy to understand and each claim clearly displays member responsibility.  You can see pre-existing conditions, authorization numbers, and line level detail for each claim, as well as, the date we received the claim and how and when it was transmitted through our system.  The Online Claims Adjustment Reconsideration function evens allows a provider the opportunity to request a review/reconsideration of a claim that they feel did not properly adjudicate, even at the claim line level, and submit documentation online in support of that request.

The prior-authorization process is also quick and easy with  Providers can submit, look-up, or edit authorizations online, at their convenience.  And, with our exclusive Adjustment Reconsideration function, providers have the opportunity to request a review/reconsideration of an authorization and submit the documentation online in support of that request.
Coventry prides itself on the EDI tools it has available for its providers and with, Coventry can boast one of the most multi-functional payer websites available to its providers in the health care industry. 
Webcast training is offered quarterly on our application and its functionalities. Please review the training opportunities via the links offered below and follow the registration instructions contained within each PDF.

Training Opportunities:

> - All Functionalities

Provider Inquiries

For provider support questions pertaining to the Coventry Health Care, Inc. business, please refer to the following contact and support information available below:

  • For Coventry Customer Service questions call 1-866-370-2336
  • For functional issues, please call Net Support at 1-866-629-3975
  • For problems with Coventry electronic claims transactions, call Front-End Operations (FEO) at 302-283-6570 or email
  • For claim issues using an Emdeon product, call Batch Help Desk @ 1-800-845-6592

Provider Services

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

Secure Provider Portal

Coventry’s free online provider portal,, 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.

Learn More >>


Manage all your Coventry health plan needs at our secure, one-stop, multi-functional provider portal.


Login or Register Now

Get Adobe Reader

© Copyright 2008-2015 Coventry Health Care