Providers

Welcome to MercyCare Health Plans' Provider's page!

Want to know if a physician or specialist is in the patient's network and what benefit level it is? Just click on Find a Doctor. All you need to know is the member's plan type (which is the W# located in the bottom right hand corner of their ID card).

Want to know if a medication is in our formulary? You can view abbreviated and full versions of our formulary by clicking on Pharmacy in the area to the right. 

The Provider Reference Guide and the Clinical Practice Guidelines are located on this page for easy reference. Our Disease Management, Quality Improvement, and Utilization Management projects are available as well.

 


For providers
Service Territory Map The Winning Choice