About Coventry Health Insurance Providers

Coventry Health Care offers group, individual and retiree health insurance plans across the U.S. Coventry also offers plans for Medicare-eligible individuals and works with states to offer Medicaid plans. In addition, Coventry contracts with employers to provide workers' compensation coverage. Coventry providers go through a credentialing process prior to joining the network and periodic re-credentialing reviews after joining. Coventry maintains high standards for admittance into the provider network. In 2009, "Consumer Reports" named Coventry Workers' Comp Services the No. 1 Preferred Provider Organization for 2009.

Coventry Member Advantages

• Members covered under Coventry health maintenance organizations must seek services from a provider within the Coventry network. Members with a preferred provider organization plan may have the option to seek out-of-network care but at a higher cost than in-network. Boasting a national network of 4,800 hospitals, 555,000 professional providers and 68,000 pharmacies, there is no shortage of Coventry in-network choices. The Coventry National network of providers is available to members when they travel out-of-state or if they have dependents in other parts of the country.

Finding a Coventry Provider

• Each regional Coventry subsidiary has its own website. These sites contain a provider search tool. Within the tool, depending on the plan and services available, members can search for Coventry network doctors, hospitals, urgent care centers, behavioral health providers, pharmacies and other ancillary and allied health professionals. It's best to confirm a provider's network status before utilizing services. Call Coventry's customer service, using the phone number on the back of the member ID card, to confirm provider's network status or obtain a referral to a network provider.

Joining the Coventry Network

• Coventry's provider network consists of primary care providers, doctors, facilities, hospitals and other health professionals. Providers can join the Coventry provider network by contacting the provider services department at 1-800-937-6824. Alternatively, to complete an application online, visit the Coventry website. Input information such as provider name, contact information, specialty, tax identification number, national provider identification number and hospital affiliations, among other information. It may take several weeks to process the application but you can check the status by calling provider services for an update.

Network Provider Advantages

• Joining the Coventry provider network means listings in provider search, referrals from other network providers, easy claims submission and access to the online provider portal. The provider portal, available through a secure log-in, allows providers to access current member eligibility, member identification numbers, claims status, status of authorization requests, Coventry plan benefit summaries and a resource library. Additionally, network providers receive competitive reimbursement rates and can enjoy quick turnaround times between claims submission and payment.