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:

• Behavioral Health Referral Assessment
• Health Educator Referral
• Maryland Uniform Consultation Referral
• Maryland Uniform Credentialing
• Maryland Uniform Treatment Plan
• Maternity & Newborn Authorization
• Newborn Enrollment Notification
• Outreach Referral
• Pharmacy Pre-Authorization
• Primary Care Provider Change
• Provider Update Form
• Rejection Review – Appeals
• Same Day Pre-Authorization
• Special Needs Referral
• Suboxone/Subutex Pre-Authorization
• Synagis Pre-Authorization

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.