Electronic Solutions Documents

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Useful Tools

At Coventry Health Care, we value the providers who take care of our members. Our improved website offers you new tools as well as some electronic tools to assist in patient care.

Estimate Your Savings - Find out how much money and time you can save your organization by submitting claims electronically.

Learn more about Mail Handlers Benefit Plan Provider Services

EFT Online Enrollment is available on our Provider Portal, DirectProvider.com!

Get your payment faster with EFT! Enrollment for EFT payments is available to all providers. Please go to our provider portal, DirectProvider.com, to complete the electronic EFT enrollment form online or download a paper form. A paper EFT enrollment form may also be requested by emailing Coventryeftrequest@cvty.com. The EFT Forms comply with the CAQH (Council for Affordable Quality Healthcare) CORE (Committee on Operating Rules for Information Exchange) rules.

Please note: there may be other EFT forms on this website that are used for members and brokers. Those forms can only be used for member and broker EFT enrollments and cannot be used for medical claims payments to providers. Only the form found on DirectProvider.com can be used for provider medical payments.

Explore the documents below to find out all the options that are available to you.

Electronic Solutions

EDI Claims 5010
PDF I 152 KB
EDI Claims 5010 Submission Guide
Coventry Logo Grid
PDF I 341 KB
Health Plan logo information
Resource Center
PDF I 108 KB
Emdeon Electronic Claims Resource Center
OCA Requests
PDF I 114 KB
Online Claim Adjustment Requests
Auth Sub Inq
PDF I 113 KB
Real-time Authorization Submission Inquiries
Claims Inq
PDF I 113 KB
Real-time Claims Inquiries
Eligibility Inq
PDF I 113 KB
Real-time Eligibility - Benefits Inquiries