Provider Forms

Listed below are some valuable tools for your convenience.

• Participating Provider Referral Form • Pre-Certification Form
• Non-Participating Provider Referral Form • Hospital Pre-Certification Form
• Request for Claim Review • Appeal Request Form
• Medical Record Release Form • Global OB Care Notification Form
• Prenatal Health Counseling Checklist • Behavioral Healthcare Practitioner and PCP Communication Form
• Advance Directives Record Form • Pre-Certification Form for External Insulin Pump and Supplies
• Obstetrical Diagnostic Request Form • UnitedHealthcare Administrative Guide – 2011
• Continuity of Care Form • UnitedHealthcare Administrative Guide – 2012
   

If you do not find the form you are looking for on this page, please contact us.

Resources

FAQs
Frequently Asked Questions 

myNHP.com Tutorials. Learn how to View Claim Status, Check Member Eligibility, Submit/Auth Referrals, and much more 

Policies, Protocols, and Administrative Guidelines 

Clinical Practice Guidelines Links to nationally recognized sources. 

Utilization Management. Learn about the UM process at NHP 

United Behaviorial Health (UBH)
The Importance of Collaboration between Primary Physicians and Behaviorial Health Clinicians. 

Links

Neighborhood Additions Program
Member Support and Education during Pregnancy and High-risk Screening