Provider Resources
Tools and information to help improve the provider experience and member health outcomes
eHealthsuite™
Eligibility & Claims portal
ACUITYNxt™
Prior Authorization Portal
Make it Easy for Members to Find You
Maintaining complete and correct provider records in the Interactive Provider Directory is a priority for Simpra Advantage as the directory provides an important source of provider information to our members. We encourage you to review your records in the directory and notify us of any changes to your information as soon as possible and no later than 30 days prior to an upcoming change. Notify us of any updates needed by emailing networksupport@simpra.com.
By providing this information promptly, you will ensure your practice is listed correctly in the Simpra Advantage Provider Directory and that members are able to reach your practice for services needed.
Join Our Network
Start here to become a provider in the Simpra Advantage network.
Update Provider Information
Make it easy for members to find you.
Claims
Everything you need to know about our Electronic Claims Submission process.
Clinical Practice Guidelines and Medical Necessity
Our guidelines to ensure you have the most up-to-date, evidence-based information.
For Prescribers and Pharmacies
Find formularies, prior
authorization criteria, step therapy
criteria, and more.
Provider Documents
Access important plan information,
provider portal, processes, and
directories.
Find A Drug
Access important plan information,
provider portal, processes, and
directories.
About the Provider Portal
Secure access to claims, eligibility info, authorizations, password resets, and more.