Priority Partners Forms
Priority Partners provides immediate access to required forms and documents to assist our providers in expediting claims processing, prior authorizations, referrals, credentialing and more.
Links & Downloads:
- Hepatitis C Therapy Prior Authorization Form
- Maryland Uniform Credentialing Form
- Member Services Referral Form
- Newborn Enrollment Notification Form
- Pharmacy Pre-Authorization Form
- Primary Care Provider Change Form
- Provider Update Form
- Rejection Review - Appeals Form
- Synagis Pre-Authorization Form
- Care Management Services Referral Form
PLEASE NOTE: All forms are required to be faxed to Priority Partners for processing. See the fax number at the top of the each form for proper submission. If you have any questions, please contact Customer Service at 1-800-654-9728.