Clear Health Alliance Precertification Requirements

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Precertification Requirements - Clear Health Alliance

(4 days ago) Providers needing an authorization should call 1-877-440-3738. The following ALWAYS require precertification: Elective services provided by or arranged at … See more

https://provider.clearhealthalliance.com/florida-provider/precertification

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Referrals & prior authorizations Florida Clear Health Alliance

(3 days ago) WebVaccines (except pneumonia and shingles for adults) STD diagnosis or treatment. Rabies diagnosis or immunization. School health services and urgent services. For services not …

https://www.clearhealthalliance.com/florida/care/referrals-prior-authorization.html

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August 2021 Provider Nesletter - Clear Health Alliance

(1 days ago) WebClear Health Alliance (CHA) Provider Services: Medicaid: 844-405-4296 https: requirements Effective for dates of service on and after May 1, 2021, below in our …

https://medicalpolicy.clearhealthalliance.com/docs/gpp/FL_SHC_CHA_ProviderNewsletter_Aug2021.pdf?v=202107301659

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Preauthorization Overview - Health Alliance

(5 days ago) Web11. Review the patient’s information and then choose the Add to Request button to add them to your preauthorization request. This screen is for you to enter information for the …

https://www.healthalliance.org/media/Resources/pnm-preauthbklt-0518-WEB.pdf

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Clear Health Alliance Providers

(8 days ago) WebTo determine if pharmacy benefits are payable by Clear Health Alliance, please confirm the requested services are a covered benefit. Questions about members’ pharmacy benefits …

https://provider.clearhealthalliance.com/florida-provider/

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Provider Manual - Simply Healthcare Plans

(7 days ago) WebNote: This manual provides standards for services to Simply and Clear Health Alliance members enrolled in the Medicaid Managed Care, Medicaid Specialty …

https://provider.simplyhealthcareplans.com/docs/gpp/FLFL_SMH_FHKProviderManual.pdf?v=202204061533

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Member Secure Application - Clear Health Alliance

(9 days ago) WebMember Secure Application - Clear Health Alliance is a web portal for members of the Clear Health Alliance, a Managed Care Plan with a Florida Medicaid Contract. …

https://member.clearhealthalliance.com/

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Florida Medicaid Florida Clear Health Alliance

(3 days ago) WebYou can continue to call the same numbers on the back of your member ID card. If you, or anyone in your household, have standing orders or prior approvals for trips, that …

https://www.clearhealthalliance.com/florida/home.html

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Schedules and registration

(5 days ago) WebAs new courses and webinars become available, they will be added to this page to keep you in the loop on upcoming continued learning opportunities. Clear Health Alliance offers …

https://medicalpolicy.clearhealthalliance.com/florida-provider/schedules-registration

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Precertification Requirements - Simply Healthcare Plans

(9 days ago) WebThe following ALWAYS require precertification: Elective services provided by or arranged at nonparticipating facilities. All services billed with the following revenue codes: 0023 — …

https://provider.simplyhealthcareplans.com/florida-provider/precertification-requirements

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FLASH: Request Preauthorization Online - Providers :Providers

(2 days ago) WebWhen requests come through Clear Coverage, the turnaround time is 2 to 3 days, and the majority are approved automatically. For those pharmacy and durable …

https://provider.healthalliance.org/informed-post/request-preauthorization-online/

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Prior Authorization & Clinical Review Criteria - Health Alliance

(5 days ago) WebHealth Alliance uses medical necessity criteria based on published clinical evidence to make utilization and prior authorization decisions. Use of the InterQual® clinical decision …

https://www.healthalliance.org/clinical-review-criteria

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Contact Us - Clear Health Alliance

(3 days ago) WebPhone: 1-844-405-4296. Eligibility Verification — Prompt 1. Authorizations & Precertification — Prompt 2. Claims Status — Prompt 3. Provider Relations — Prompt …

https://medicalpolicy.clearhealthalliance.com/florida-provider/contact-us

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WebFor questions about Behavioral Health claim submissions, please call 1-800-682-9091. PRIOR AUTHORIZATION To confirm Horizon NJ Health’s receipt of a Prior …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Credentialing Process Overview - Horizon BCBSNJ

(5 days ago) WebHorizon NJ Health networks. This form applies to, and should be completed by, health care professionals who are not MDs or DOs. For us to assess your credentials and ensure …

https://www.horizonblue.com/sites/default/files/2020-04/32244_Other_healthcare_professional_checklist.pdf

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School of Nursing Date

(6 days ago) WebIn line with regulatory requirements and contractual agreement with healthcare organizations that we have arranged to serve as clinical sites for the practicum of our …

https://nursing.rutgers.edu/wp-content/uploads/2019/09/Medical-Clearance.pdf

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