Provider Forms
Dental
- Important information for dental providers — November 2012
- EHB Dental-related medical travel prior approval form
Medical Supplies and Equipment
- Important information for medical supplies and equipment providers — Feb. 2012
- EHB Medical supplies and equipment prior approval form
- Important information for medical equipment and supplies providers — November 2012
- EHB Medical supplies/equipment and associated travel prior approval form
Prescription Drugs
- Biosimilars Initiative Support: Patient List Request — Dec. 2021
- EHB Request for Exception Drug Coverage