Information for Healthcare Providers and Pharmacies
Welcome
Thank you for visiting Today's Options® PFFS. This site provides you helpful resources you need to better understand your patients’ coverage. Learn about the pharmacy benefits for your patient’s prescription drug coverage.
The Provider Portal
The Provider Portal will enable providers to conduct a wide range of self-service transactions and inquiries in a secure online environment. These services include eligibility inquiry, benefit summaries, claim status, and validation of referrals and authorizations.
Services available on the Provider Portal will be:
- Provider level demographic detail
- Member Eligibility detail
- Benefit Summary for eligible members
- Claims detail
- Referral and Authorization detail
Terms and Conditions
The Terms and Conditions for Today’s Options are important information for physicians who accept or are considering accepting members of our plan. The Terms and Conditions include:
- Rate and billing information
- Plan availability
- Important information for your patients
- Rights and Responsibilities of Providers
Additional Provider Resources
- Formulary Changes
- Prior Authorization Status Search
- Formulary and Prior Authorization Forms
- Access information pertaining to the CMS Non-matched list
- Provider Manual
- Medicare Part D Coverage Determination Request Form
- Vaccine Administration Claim Form
- Provider Quick Reference Sheet
- Edi Flyer
- Today’s Options Recruitment Brochure
- Dispute Resolution Request Form
- Non-Contracted Provider Payment Dispute Instructions
- Non-contracted Provider Payment Dispute Form
2010 Resources
2009 Resources
Medicare Fraud, Waste and Abuse
Please view Universal American’s Medicare Advantage Part D Fraud, Waste and Abuse Training for Pharmacies and Pharmacy Staff.
