Tools/Resources
Information and forms provided in this section have been developed by Suburban Health Organization (SHO) as support for risk services (Advantage Membership) or to support our messenger model contracting process. They apply solely to services provided by SHO.
Risk Services Resources
Used for Advantage Membership. These PDF forms require Adobe Reader to view.
- 1500 Claim Form
- Ancillary Directory
- Catholic Directive List
- Claim Payment for Physician Extenders
- EDI Provider Enrollment Form
- Prior Authorization List
- Prior Authorization Request
- Provider Claim Dispute Form
- Provider Claim Inquiry
- Provider Directory
- Provider Enrollment
- Provider Manual
- Quick Reference Card
Messenger Model
Click below to access the Messenger Model website. This portion of the website includes the documents needed to complete the assignment with Advantage Preferred Plus, Corvel and Encore. We have also posted the existing contracts in place through SHO with Cofinity (PPOM), Managed Health Services, Multiplan and MDwise Hoosier Alliance for your reference.
When clicking below, you will be prompted for login information. Be sure to add an exclamation point (!) to the end of the password that was supplied to you.
