Eq Health Prior Authorization List

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Codes that require Prior Authorization

(7 days ago) WEBADI Codes (Advanced Diagnostic Imaging) Multispecialty Codes - Chiropractic. Multispecialty Codes - Hearing Services (Audiology) Multispecialty Codes - ITB Pump. Multispecialty Codes - Oral Maxillofacial Surgery. Multispecialty Codes - Outpatient …

https://fl.eqhs.com/MultispecialtyADI/Codesthatrequirepriorauthorization.aspx

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Prior Authorization Ascension

(2 days ago) WEBAscension Personalized Care has partnered with Seton Health Plan to provide utilization management services. New APC member or recently switched plans? Find your ID card in the member portal. • Fax a completed Prior Authorization Form to: 512-380-7507. Fax authorizations will need to be verified for covered services.

https://www.ascensionpersonalizedcare.com/clinicians/prior-authorization

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Prior Authorization Florida Agency for Health Care Administration

(8 days ago) WEBThe Agency for Health Care Administration has contracted with a certified Quality Improvement Organization (QIO), eQHealth Solutions, Inc. to provide medical necessity reviews for Medicaid home health services. For more information on eQHealth Solutions, Inc. please visit the website. ServicesFormsElectronic Visit VerificationHH Agency

https://ahca.myflorida.com/medicaid/medicaid-home-health-hh-services/prior-authorization

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Prior Authorization of Elective Procedures

(6 days ago) WEBEffective: March 1, 2014 Prior Authorization of Elective Procedures eQHealth Solutions 4 of 27 II. Overview of Services A. eQHealth Solutions – Illinois’ Quality Improvement Organization eQHealth Solutions, Inc. (eQHealth), under contract to Healthcare and Family Services (HFS) since 2002,

https://il.eqhs.com/Portals/0/Prior%20Auth%20Provider%20Manual.pdf

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2020 eQHS Provider Portal Links

(3 days ago) WEBeQHealth Solutions. eQHealth is now Kepro. Kepro completed the acquisition of eQHealth Solutions, LLC. This acquisition will expand Kepro’s population health management and technology solution portfolios. …

https://www.kepro.com/eqsuite-portal-access

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eQSuite Login - Kepro

(4 days ago) WEBLog Data. We want to inform you that whenever you visit our Care Coordination Site, we collect information that your browser sends to us that is called Log Data. This Log Data may include information such as your computer’s Internet Protocol ("IP") address, browser version, pages of visited, the time and date of your visit, the time spent on

https://precertification.eqhs.com/

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eQHealth Solutions - Arkansas > OT/PT/ST - Kepro

(8 days ago) WEBeQ Health will process all prior authorization requests according to their program type. Therapy program type (21, 42, 43) within seventy-two (72) hours of receipt of complete documentation clearly establishing medical necessity. EIDT program type (24) within nine (9) days of receipt of complete documentation clearly establishing medical necessity.

https://ar.eqhs.com/OT-PT-ST

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Authorization and CPT Code Lookup Wellcare Wellcare

(8 days ago) WEBPlease select your line of business and enter a CPT code to look up authorization for services. Select Line of Business. Select. . Enter CPT Code. Reset Lookup.

https://www.wellcare.com/en/Authorization-Lookup

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Understanding prior authorizations Member Priority Health

(1 days ago) WEBService types that commonly require prior authorization. Admissions—all non-acute inpatient, partial and residential admissions, both medical and behavioral health. Advanced imaging (i.e., CT, MRI, PET scans) Applied Behavioral Analysis (ABA) Bariatric services. Cardiac diagnostic services. Durable Medical Equipment (DME) and Prosthetics

https://www.priorityhealth.com/member/getting-care/prior-authorizations

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eQHealthSolutions of Florida > Home Health/PCS/PPEC > Access …

(4 days ago) WEBHome; Provider Resources. Kepros Performance Metrics; How To Guides; Register for a webinar; Archived Bulletins; Out of State Requests. Authorization Process & Form

https://fl.eqhs.com/HomeHealthPCSPPEC/AccessForms.aspx

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Utilization Management - Automated Benefit Services

(7 days ago) WEBPhone Number: (844) 217-8191. Prior Authorization Fax: (586) 693-4768. Hours of operation are 8:00 a.m. to 6:00 p.m. (EST) M-F excluding holidays. For all documents related to Utilization Management please visit the Forms page. PROVIDER FORMS. What you need to know about the coronavirus, COVID-19. ABS implements the ICD-10 …

https://www.abs-tpa.com/providers/utilization-management/

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Providers: Authorizations Health First

(5 days ago) WEBOptum can be reached at 1.877.890.6970 (Medicare) or 1.866.323.4077 (Individual & Family Plans) or online: Individual plans Medicare plans . All Other Authorization Requests – We encourage participating providers to submit authorization requests through the online provider portal. Multiple enhancements have been made to the Provider Portal

https://hf.org/health-first-health-plans/providers/providers-authorizations

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Home [il.eqhs.com]

(Just Now) WEBAn eQHealth representative will contact you. HOSPITALS LOG IN HERE. Acentra Health 500 Waters Edge, Suite 125 Lombard, IL 60148 Business Phone: (630) 317-5100 Provider Helpline: 800-418-4045 Business Fax:800.418.4039. Review Certification Line: 800.418.4033 - Mon-Fri, 8:30 am to 5:00 pm, CST Provider Helpline: Submit your …

https://il.eqhs.com/

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Florida Medicaid Pre-Authorization Sunshine Health

(9 days ago) WEBOur Utilization Management Department is available Monday through Friday from 8 a.m. to 6 p.m. at 1-866-796-0530, during normal working days. Nurse Advice Line staff are available 24/7 for after-hour calls. Last Updated: 02/21/2024. Find out if you need a Medicaid pre-authorization with Sunshine Health's easy pre-authorization check.

https://www.sunshinehealth.com/providers/preauth-check.html

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eQHealthSolutions of Florida > Behavior Analysis > Forms and

(9 days ago) WEBBehavior Analysis Forms. Behavior Analysis: Change of Provider Form, Instructions, and Process. MDT Behavior Plan Checklist Form. MDT Prior Authorization Clinical Questions Form. Request for Extension of Administrative Authorization of …

https://fl.eqhs.com/BehaviorAnalysis/FormsandDownloads.aspx

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Update: Crown Prior Authorization (PA) Exception for Endodontic …

(5 days ago) WEBOn October 19, 2022, the Office of MaineCare Services (OMS) issued a bulletin informing providers that MaineCare will no longer require a PA for crowns provided in conjunction with endodontic therapy when a qualifying diagnosis was included on the dental claim. The list of qualifying diagnosis inadvertently listed ICD-10-CM code K04.0 …

https://www.maine.gov/dhhs/oms/providers/provider-bulletins/update-crown-prior-authorization-pa-exception-endodontic-therapy-2024-05-03

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Pharmacy Program Quarterly Update Changes Effective July 1, …

(7 days ago) WEBPerformance Select Drug List Exclusions Health Insurance Marketplace (HIM) Drug List Exclusions Basic, Multi-Tier Basic, Enhanced, and Multi-Tier Enhanced Revision s (etexilate base eq)) There is a generic equivalent available. Please talk to your doctor Changes to Standard Prior Authorization Program – Effective July 1, 2024

https://www.bcbsil.com/docs/provider/il/education/news-updates/2024/pharmacy-changes-20240508.pdf

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