Coventry Health Care of Illinois, Inc. ("Coventry Health Care") values the quality care that our health care providers give to our members. To support that effort, Coventry Health Care has multiple options for obtaining the information you need to maximize every patient visit, including our exclusive, free website, directprovider.com.
The pre-authorization process is quick and easy with our secure online service, directprovider.com. As a provider, you can submit, look-up, or edit authorizations online, at your convenience. If you are requesting a prior authorization for an advanced radiology service, please go to www.RadMD.com.
Coventry Health Care prides itself on the EDI tools we have available for our providers. With directprovider.com, Coventry Health Care can boast one of the most multi-functional payer websites available in the healthcare industry to our providers . For more information on directprovider.com, please visit the ‘Secure Provider Portal’ section of this website.
National Participating Provider Precertification List (NPL)
PDF | 150 KB
Always access document for current precertification requirements.
Prior Authorization Form
- Form used to request authorization for certain services
Manage all your Coventry health plan needs at our secure, one-stop, multi-functional provider portal.