Health Alliance Precertification List

Listing Websites about Health Alliance Precertification List

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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® …

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

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Preauthorization List—Standard Effective January 1, 2023

(1 days ago) WEBBreast implant surgeries. Gynecomastia surgery. Reduction mammoplasty, female. Cardiac imaging and procedures (echo, echo stress, cardiac rhythm implantable devices, …

https://www.healthalliance.org/documents/24063/2023

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FLASH: Request Preauthorization Online - Providers :Providers

(2 days ago) WEBOur online submission tools allow you to track and receive notifications about your preauthorization requests. They also help us process requests more quickly. …

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

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FLASH: Health Alliance Prior Authorization Changes for 2024

(9 days ago) WEBHealth Alliance will add vascular intervention services to our Standard Prior Authorization list effective January 1, 2024. Requests for these services should be submitted for …

https://provider.healthalliance.org/informed-post/flash-health-alliance-prior-authorization-changes-for-2024/

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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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Pharmacy/Medical Drug Prior Authorization Form - Health …

(4 days ago) WEBProviders are strongly encouraged to submit this form and all chart documentation via the Health Alliance Pharmacy Provider Portal. This will result in more reliable …

https://www.healthalliance.org/documents/124

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For Providers - Stanford Health Care Alliance

(7 days ago) WEBAetna Precertification List. Providers can submit authorizations for Stanford or Cisco members to SHC Alliance through the Aetna Provider Portal or by calling Aetna Provider …

https://stanfordhealthcarealliance.org/for-providers.html

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Online Prior Authorization (PA) - UHA Health

(5 days ago) WEBPlease note that this list includes only CPT/HCPCS codes and that any prior authorization requirements apply to all UHA medical plans. 1. Outpatient services rendered in an …

https://www.uhahealth.com/providers/online-prior-authorization-pa

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Prior Authorization Submission Process - Alliance Health

(1 days ago) WEBFor faster, self-service submit prior authorization requests using the ACS Provider Portal for online admission, concurrent review, and discharge prior authorization. The portal is …

https://www.alliancehealthplan.org/providers/tp/submission-processes/pa-submission-process/

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Medical Prior Authorizations & Approvals Wellmark

(Just Now) WEBTo view the progress of an authorization, login to myWellmark® and click the Authorizations tab. You’ll be able to view authorizations 24 hours after they’ve been submitted. If the …

https://www.wellmark.com/member/authorizations-and-approvals

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2022-precert-list(1) - Stanford Health Care Alliance

(2 days ago) WEBForprecertificationofpharmacy-covered specialty drugs (notedwith *)when the member isenrolled ina commercial plan, call 1-855-240-0535. Or fax applicable request forms to …

https://stanfordhealthcarealliance.org/content/dam/shca/docs/for-providers/2022-aetna-precert-list.pdf

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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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ALAMEDA ALLIANCE FOR HEALTH PRIOR AUTHORIZATION …

(5 days ago) WEBPlease call the Alliance Provider Services Department at 1.510.747.4510. NCB = Non-Covered Benefit PA = Prior Authorization LOB = Line of Business Please Note: This list …

https://alamedaalliance.org/wp-content/uploads/documents/Authorizations/Referral-and-Prior-Authorization-PA-Grid_02122020.pdf

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Precertification Requirements - Clear Health Alliance

(4 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.clearhealthalliance.com/florida-provider/precertification

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Prior Authorization MDwise

(2 days ago) WEB2023 Searchable Behavioral Health Services that Require Prior Authorization for Hoosier Healthwise and HIP effective 1/1/2023. Contact. PA Inquiry Phone Number. MDwise …

https://www.mdwise.org/mdwise/mdwise-prior-authorization-forms

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Pharmacy Information - Clear Health Alliance

(6 days ago) WEBYou can reach our Pharmacy department at 1-877-577-9044 between 8:00 a.m. and 8:00 p.m. Eastern time Monday through Friday. Precertifications by fax: You can also fax your …

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

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Provider Resources - Clear Health Alliance

(7 days ago) WEBProvider resources. We are committed to supporting you in providing quality care and services to the members in our network. Here you will find frequently used forms, PDFs, …

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

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Stanford Health Care Alliance

(3 days ago) WEBPlease refer to the directory for a complete list or contact SHCA’s Member Care Services Team at 855-345-7422 (Stanford groups) or 844-845-8078 (Cisco). Connected Care …

https://stanfordhealthcarealliance.org/content/dam/shca/docs/for-providers/2024-shca-provider-operations-guide-final-v5.pdf

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