By selecting this link, you will be redirected to another Aetna Coventry website outside of directprovider.com. You can continue to work within directprovider.com while utilizing this website.

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By selecting this website link, you will be redirected to a website outside of Aetna Coventry and Direct Provider. We encourage you to familiarize yourself with the other website's Privacy Statement as it differs from ours.

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By selecting this website link, you will be redirected to a website outside of Aetna Coventry and Direct Provider. We encourage you to familiarize yourself with the other website's Privacy Statement as it differs from ours.

By selecting this link, you will be redirected to another Aetna Coventry website outside of directprovider.com. You can continue to work within directprovider.com while utilizing this website.

Continue
 

By selecting this website link, you will be redirected to a website outside of Aetna Coventry and Direct Provider. We encourage you to familiarize yourself with the other website's Privacy Statement as it differs from ours.

Continue
 

By selecting this website link, you will be redirected to a website outside of Aetna Coventry and Direct Provider. We encourage you to familiarize yourself with the other website's Privacy Statement as it differs from ours.

 
 

Register for Direct Provider in 5 easy steps.

Register Your Practice

Product Identification

OFFICE TYPE

Please identify your office as either a provider office or a billing agency.

512
128

Enter a Tax Identification Number

Billing Agencies can register for Health Plans only.

PRODUCT TYPE

Please select the product(s) you wish to register for:

Health PlansX

Choose the Health Plans option if:

  • You would like access to Health Plans for eligibility, claim inquiry, authorizations, remittance advice, and other health plan information.
  • The Health Plans access refers to all traditional commercial, Medicare & Medicaid plans.

After your account is activated, you can add additional tax identification numbers to your existing Direct Provider account. You do not need to register again.


Health Plans

Choose the Health Plans option if:
You would like access to Health Plans for eligibility, claim inquiry, authorizations, remittance advice, and other health plan information.

Click here for details on Health Plans access...

 
Workers' CompX

Choose the Workers' Comp option if:

  • You would like to access bills submitted to Coventry Workers' Comp Services, Explanation of Review (EOR) images, bill level network pricing information, payor/client list and additional resources related to Workers' Comp.

After your account is activated, you can add additional tax identification numbers to your existing Direct Provider account. You do not need to register again.


Workers' Comp

Choose the Workers' Comp option if:
You would like to access bills submitted to Coventry Workers' Comp Services, Explanation of Review (EOR) images, bill level network pricing information, payor/client list and additional resources related to Workers' Comp.

Click here for details on Workers' Comp access...

 
First Health TPA Or PPO Fee Schedule Or Client List X

Choose First Health TPA or PPO Fee Schedule or Client List option below if:

  • You want access to First Health TPA claims and pricing sheets The First Health TPA access refers to the First Health TPA rental network line of business.

OR

  • You would like access to PPO Fee Schedule information.
  • PPO Fee Schedule access refers to the following products: First Health Network (Rental PPO), First Health International, First Health Complementary, First Health Limited Benefit Plan, Workers' Comp and Coventry Health Care National Network.

OR

  • You would like to access your Client List for PPO Products. This list will indicate whether you participate with a given client.

After your account is activated, you can add additional tax identification numbers, PPO products and provider identification numbers to your existing Direct Provider account. You do not need to register again.

NOTE: Fee schedule data for PPO Products are not currently available via Direct Provider for hospitals, provider groups owned by a hospital or health system, and some Outpatient Care Network (OCN) ancillary providers. Affected groups will be unable to register via the 'PPO Fee Schedule' option below.



First Health TPA Or PPO Fee Schedule Or Client List

Choose First Health TPA Or PPO Fee Schedule Or Client List option below if:
You would like access to First Health TPA or PPO Fee Schedule information or your Client List.

Click here for details on First Health TPA or PPO Fee Schedule or Client List access...

ppoProduct
 
 
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