(TTY: 711)

Provider Forms

CoxHealth Medicare Advantage

As a Provider you have easy access to documents and forms.

Medical Care Coverage Decisions

CoxHealth Medicare Advantage requires prior authorization for certain services and drugs.  This means a provider will need to get approval from CoxHealth Medicare Advantage in some cases before the member can receive care or fill prescriptions.  If an approval is not sent prior to services, CoxHealth Medicare Advantage may not provide coverage.  If prior authorization is required, the provider must complete the Medicare Coverage Decision form. 

Provider Appeals Form

To be used by providers in the appeals process.

Scroll to Top