Curative designed a health plan focused on affordability, engagement, and simplicity. Enjoy stronger relationships when patients see you as a care provider with their best interests in mind, not someone who will put them in debt.
Stop chasing down copays or deductibles on the backend. Spend your time treating patients instead of wrapped up in administrative hassle with guaranteed, timely payments and streamlined systems. Focus on what actually matters—your patients’ health.
Frequently asked questions for providers
Learn more about coverage, claims, reimbursements, and more.
Expect regular visits with your patients, enabling more effective care and better outcomes. Work with patients eager to be involved in their healthcare.
Once this form is submitted, a representative from Provider Relations will follow up within 7-10 business days for next steps. Thank you for your interest in joining the Curative health plan.
Medical Procedure Review Criteria Source: Prior authorization requests are reviewed utilizing decision guidelines based on reasonable evidence. Curative uses MCG (formerly Milliman Care Guidelines) which is a national approved care guidelines entity to perform prior authorization.
Review Curative Medical Procedure Policies for:
Pharmaceutical Review Criteria Source: Curatives Pharmacy Prior Authorization guidelines are reviewed quarterly by our Pharmacy and Therapeutics Committee. The P&T Committee is made up of physicians and pharmacists which evaluate the safety and efficacy of drugs on our formulary and approve any recommended PA guidelines.
Requests for copies of the Prior Authorization Guidelines may be submitted via fax at 877-942-4448 or by email at firstname.lastname@example.org.