El Paso Health Authorization Requirements

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Prior Authorization – El Paso Health

(8 days ago) WEBProviders can submit Pharmacy Prior Authorizations (PA) for Outpatient Drugs to El Paso Health’s Pharmacy Provider Hotline at 1-877-908-6023. Clinical staff is available 24 hours a day, 7 days a week. Providers may also fax prior authorization forms to El Paso …

http://www.elpasohealth.com/providers/prior-authorization/

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PROCEDURES & SERVICES REQUIRING PRIOR …

(Just Now) WEBPrior authorization is based on information provided to El Paso Health at the time of request, it does not guarantee payment of benefits nor verify eligibility and is subject to …

http://www.elpasohealth.com/wp-content/uploads/2021/10/9738-22-EPH-PRE-AUTH-FLYER-2021.pdf

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Prior Authorization Requirements STAR, CHIP and CHIP - El …

(7 days ago) WEBa9536 no authorization required - unless condition star, chip, chip perinatal (nb) texas standard pa request form 07/30/2021 for health care services, physician …

https://www.elpasohealth.com/pdf/EPH_PriorAuthorizationRequirementsCatalog_20220920.pdf

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Providers – El Paso Health Plus

(4 days ago) WEBIf you need assistance, call us at 1-833-742-3125 (TTY 711), from October 1 to March 31, 8:00 am to 8:00 pm, 7 days a week and April 1 through September 30, …

https://ephmedicare.com/providers/

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9912-15 PRIOR AUTHORIZATION FORM - El Paso Health Plus

(Just Now) WEBMEDICARE PRIOR AUTHORIZATION LIST Effective January 1, 2024 Prior-authorization is subject to all terms, conditions, limitations and exclusions related to the El Paso …

https://ephmedicare.com/pdf/PRIOR%20AUTHORIZATION%20LIST.pdf

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Members – El Paso Health Plus

(4 days ago) WEBCall a licensed El Paso Health Sales Agent 1-833-742-3125 TTY 711 ¡Hablamos Español! 8:00 AM - 8:00 PM Prior authorization requirements and “refill-too-soon” edits at the …

http://www.ephmedicare.org/members/index.htm

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Forms – El Paso Health Plus

(5 days ago) WEBPrior Authorization Form. Member Medical Claim Reimbursement Form. Use this form to request a medical reimbursement for something you have paid out-of-pocket …

https://ephmedicare.com/plan-materials/forms/

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Forms & Docs - City of El Paso

(8 days ago) WEBHealth & Safety. Fire Department; Police Department; Public Health; epStrong; Be PowerFlu; Be Well EP; Live Active; Homeowner & Authorization Affidavit for Building Permits (Spanish) Notice of …

https://www.elpasotexas.gov/planning-and-inspections/forms-and-docs/

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Summary of Benefits - El Paso Health Plus

(4 days ago) WEBEl Paso Health Advantage Dual SNP (HMO D-SNP) This is a brief summary of benefits and services covered by El Paso Health Advantage Dual SNP (HMO D-SNP) from …

https://ephmedicare.com/pdf/2022%20SummaryofBenefits%20Final.pdf

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WellMed Texas Prior Authorization Requirements Effective …

(7 days ago) WEBPrior Authorization Requirements Effective January 1, 2023 El Paso Waco H4527-005- AARP Medicare Advantage (HMO) H4527-002W-AARP Medicare …

https://www.wellmedhealthcare.com/wp-content/uploads/2022/12/WellMed-Prior-Auth-List-Effective-1-1-2023.pdf

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Providers – El Paso Health

(8 days ago) WEBProviders. You can contact us at 915-532-3778 or toll free at 1-877-532-3778 for STAR or toll free at 1-833-742-3127 for STAR+PLUS. Provider Relations Department …

http://www.elpasohealth.com/providers/

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Prior authorization requirements Wellpoint Texas, Inc.

(2 days ago) WEBOutpatient: 1-844-442-8010. Services billed with the following revenue codes always require prior authorization: 0240–0249. all-inclusive ancillary psychiatric. 0901, 0905–0907, …

https://www.provider.wellpoint.com/texas-provider/resources/prior-authorization-requirements

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ELECTRONIC VISIT VERIFICATION – El Paso Health

(2 days ago) WEBEVV El Paso Health Recoupment Policy El Paso Health has an updated Recoupment Policy to comply with the new requirements outlined in Senate Bill 1991. New EVV TAC …

http://www.elpasohealth.com/providers/evv/

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Prior Authorization Aetna Medicaid Texas - Aetna Better Health

(4 days ago) WEBHere are the ways you can request PA: Online. Complete the Texas standard prior authorization request form (PDF) . Then, upload it to the Provider Portal. Visit the …

https://www.aetnabetterhealth.com/texas/providers/prior-authorization.html

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WellMed Texas Medicare Advantage Prior Authorization …

(1 days ago) WEBPrior Authorization Requirements Effective January 1, 2020 Excluded Plans WellMed Prior Authorization Requirements do not apply to the following excluded benefit plans …

https://www.wellmedhealthcare.com/wp-content/uploads/2020/08/2020_PAL01_PAL07_August_WM_Summary_of_changes_prior_auth.pdf

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Provider Tip Sheet - American Health Plans

(5 days ago) WEBcoverage, prior authorization, claims processing, claims submission, and claims payment. 833-661-1990 Claims processing Electronic claims (preferred) Clearinghouse: Change …

https://mo.amhealthplans.com/docs/current/provider/1/provider-tip-sheet.pdf

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List of Services Requiring Prior Authorization – El Paso Health

(5 days ago) WEBEl Paso Health 1145 Westmoreland Drive El Paso, TX 79925-5615 Call us at 915-532-3778 STAR/CHIP Outside El Paso 877-532-3778 STAR/CHIP Call us at 833-742-3127 …

http://www.elpasohealth.com/list-of-services-requiring-prior-authorization/

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Eligibility – El Paso Health Plus

(3 days ago) WEBTo join El Paso Health Medicare Advantage Dual (HMO D-SNP), you must be: Entitled to Medicare Part A; Live in our service area. Our service area includes El …

https://ephmedicare.com/member-eligibility/

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MyBlue Health Blue Cross and Blue Shield of Texas

(1 days ago) WEBBexar, Cameron, Collin, Dallas, Denton, El Paso (The Valley), Harris, Hidalgo, and Tarrant MyBlue Health members must select a primary care provider and referrals are …

https://www.bcbstx.com/provider/network/network/myblue-health

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WellMed Texas Medicare Advantage Prior Authorization …

(Just Now) WEBFax: 1-866-322-7276 Phone:1-877-757-4440 Fax: 1-877-757-8885 Phone:1-877-490-8982 Referrals to specialists are required in some markets. Please follow your …

https://www.wellmedhealthcare.com/wp-content/uploads/2019/12/WM-TX-Prior-Authorization-List-Effective-January-1-2020.pdf

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Peoples Health and UnitedHealthcare provider portal and …

(7 days ago) WEBPeoples Health P.O. Box 981645 El Paso, TX 79998-1645 For Peoples Health Group Medicare Office of Group Benefits: Peoples Health, A UnitedHealthcare Company P.O. …

https://www.peopleshealth.com/wp-content/uploads/2023/09/2024providertransitionfaqs.pdf

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