Clear Health Alliance Precertification

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Precertification Requirements - Clear Health Alliance

(4 days ago) Simply Healthcare Plans, Inc. (Simply) and Clear Health Alliance (CHA) highly encourage the submission of precertification requests via the Availity Portal. … See more

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

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Precertification Lookup Tool - Clear Health Alliance

(1 days ago) WebPrecertification Lookup Tool Please note: Interested in becoming a provider in the Clear Health Alliance network? We look forward to working with you to provide quality service …

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

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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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Home Health/DME Precertification Request - Clear Health …

(4 days ago) WebClear Health Alliance Home Health/DME Precertification Request Page 3 of 5 ☐ E0301 - Hospital bed, heavy duty, extra wide, with weight capacity 350-600 lbs w/rails w/o …

https://provider.clearhealthalliance.com/docs/gpp/FLFL_SMH_CHA_FloridaHHDMEPreauthorizationForm.pdf?v=202111112235

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Provider Manuals and Guides - Clear Health Alliance …

(1 days ago) WebPrecertification. Claims & Disputes. Forms. Interested in becoming a provider in the Clear Health Alliance network? We look forward to working with you to provide quality …

https://medicalpolicy.clearhealthalliance.com/florida-provider/manuals-and-guides

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Precertification Request - Clear Health Alliance

(4 days ago) WebPrecertification Request * Availity, LLC. is an independent company providing administrative support services on behalf of Simply Healthcare Plans, Inc. and Clear …

https://provider.clearhealthalliance.com/docs/inline/FLFL_SMH_Other_PrecertificationRequestForm.pdf?v=201912171544

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Preauthorization Overview - Health Alliance

(5 days ago) Webfile your preauthorization at Clear Coverage, eviCore or through the Health Alliance forms for Durable Medical Supplies, Pharmacy or Medical in the middle. Follow the on-screen …

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

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Training resources - Clear Health Alliance

(1 days ago) WebPrecertification. Claims & Disputes. Forms. Education & Training. Training resources. For physicians and healthcare professionals Provider Pathways. Clear Health Alliance is …

https://medicalpolicy.clearhealthalliance.com/florida-provider/training-resources

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Pharmacy Benefits Florida Clear Health Alliance

(5 days ago) WebIf you misplace your medicine or it is stolen, contact your provider. They will work with the pharmacy and Clear Health Alliance to review your case and replace the medicines as …

https://www.clearhealthalliance.com/florida/benefits/pharmacy-benefits.html

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Forms - Clear Health Alliance

(3 days ago) WebPrecertification. Claims & Disputes. Forms. Education & Training. Forms. Interested in becoming a provider in the Clear Health Alliance network? We look forward to working …

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

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Florida Medicaid Florida Clear Health Alliance

(3 days ago) WebHow to enroll with Clear Health Alliance. How to renew your benefits. Contact us. Member Tools. Find a doctor or hospital. Change your PCP. Send us a secure message. Take …

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

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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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Precertification Request - Simply Healthcare Plans

(7 days ago) WebFor questions or to submit your request, use the following: Statewide Medicare Managed Care Managed Medical Assistance — prior authorization (PA) phone: 1-844-405-4297; …

https://www.simplyhealthcareplans.com/florida-medicare/flfl_care_precertrequestform.pdf

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FLSMPLY-CD-052504-24 Update Precert Request Form CMAP

(4 days ago) WebPrecertification Request . https://provider.simplyhealthcareplans.com https://provider.clearhealthalliance.com . Simply Healthcare Plans, Inc. is a Managed …

https://provider.simplyhealthcareplans.com/docs/FLFL_SMH_Other_PrecertificationRequestForm.pdf

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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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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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Provider Resources - Clear Health Alliance

(7 days ago) WebClear Health Alliance (CHA) offers training and tutorials to support providers in continuing their education. Presentations, videos and other training documentation will be added as …

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

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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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Clear EyeCare LLC

(8 days ago) WebClear EyeCare LLC. 2100 88th Street, North Bergen, New Jersey 07047, United States. (inside Walmart Vision Center) 201-758-2895 [email protected].

https://cleareyecarellc.com/

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Reimbursement Policies - Clear Health Alliance

(5 days ago) WebPrecertification. Claims & Disputes. Forms. Interested in becoming a provider in the Clear Health Alliance network? We look forward to working with you to provide quality …

https://medicalpolicy.clearhealthalliance.com/florida-provider/reimbursement-policies

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