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Providers

Provider resources


We are committed to supporting you in providing quality care and services to the members in our network. Here you will find frequently used forms, PDFs, provider manuals and guides, prior authorization information, practice policies, and support for delivering benefits to our members.

Provider forms

Provider forms are located in our online library for easy access.

Provider education

Simply Healthcare Plans, Inc. (Simply) offers training and tutorials to support providers in continuing their education. Presentations, videos and other training documentation will be added as they become available.

Provider manuals and guides

Simply provider manuals and guides provide key administrative information, including the quality improvement program, the utilization management program, quality standards for participation, claims appeals, reimbursement and administration policies.

Learn about Availity

Many of the tools you need — such as eligibility and benefits inquiry, claims submission, claims status inquiry, and authorizations — can now be accessed by logging in to your account on the Availity Portal.

Precertification


Simply makes determinations based on selected inpatient or outpatient medical services including surgeries, major diagnostic procedures and referrals to validate medical necessity.

X-Rays, stethoscope and laptop

Behavioral Health


Patient talking with counselor

Simply’s Behavioral Health provider network includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee assistance health care professionals. Our facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs, and intensive outpatient services and programs.

Provider tools & resources

Interested in becoming a provider in the Simply network?

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