Provider Resources

Tools and information to help improve the provider experience and member health outcomes

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 [email protected].

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.


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

Find A Drug

Access important plan information,
provider portal, processes, and

About the Provider Portal

Secure access to claims, eligibility info, authorizations, password resets, and more.