Astrana Prospect Support Tickets

Aerial Quick Reference Guide

Authorization or Step Therapy Exception Request Form No 61-211

Bulletin 2.2 – Annual Reminders

Bulletin 3.4 – Access Standards Reminder

Bulletin 9.5 – New Online Service Request Form

Case Management Referral Form

Claim Provider Dispute Resolution Form

Direct Deposit Request Agreement – Prospect Medical.

Eligibility Capitation Discrepancy Form

OA ERA Instructions QRG

Office Ally ERA-Transfer Request

Request for Transfer-Disenrollment of Member from Provider

United States Preventive Service Taskforce

W9 2018