Health Alliance Provider Prior Authorization

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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 support solution is one of the ways we help our provider partners deliver evidence …

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

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Preauthorization Overview - Health Alliance

(5 days ago) WebAuthorization Lookup Select “Search by Authorization Number/NPI.” Enter the provider’s NPI and authorization or case number. Choose “Search.” You can also search for an …

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

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FLASH: Request Preauthorization Online - 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. When …

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

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URGENT FLASH: Checking Prior Authorization Requirements in …

(2 days ago) WebMarch 21, 2024. Health Alliance TM recently updated the Prior Authorization Routing tool available within the Tapestry Link. With the update, it’s now possible for you to check the …

https://provider.healthalliance.org/informed-post/urgent-flash-checking-prior-authorization-requirements-in-tapestry-link/

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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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Provider Checklist for Outpatient Prior Authorization - Health …

(5 days ago) WebPlease use this checklist as a guide to ensure you include all necessary information for ALL prior authorization requests. Incomplete submissions have the potential to cause …

https://www.healthalliance.org/documents/2986

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FLASH: Health Alliance Prior Authorization Changes for 2024

(9 days ago) WebEach year, Health AllianceTM performs a comprehensive review and analysis around services needing prior authorization. In our last review cycle, we …

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

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InterQual® Criteria Access - Health Alliance

(9 days ago) Webprior authorization request. This resource is intended to help providers and members better understand our decisions and how they align with current medical evidence. …

https://portal.healthalliance.org/documents/25775

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Health Alliance Prior Authorization Updates - Providers

(6 days ago) WebThe following procedure codes will require prior authorization through eviCore starting November 1, 2021. G0327 Colorectal cancer screening; blood-based …

https://provider.healthalliance.org/informed-post/flash-evicore-enhancement-resource-training-and-prior-authorization-updates/

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How do I check the status of my prior authorization - Health …

(6 days ago) WebHow do I check the status of my prior authorization and claim request? Log into your member account on Hally.com or the MyChart mobile app. Once logged in, you …

https://help.healthalliance.org/help/how-do-i-check-the-status-of-my-prior-authorization-and-claim-request

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Last Updated June 2021 Information provided is subject to …

(9 days ago) WebProvider Details Fill in provider’s information. Note: Provider information is for PA review and notification purposes only. Pharmacy approvals are for the …

https://portal.healthalliance.org/documents/23728

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FLASH: Important Information About Prior Authorizations - Providers

(5 days ago) WebFLASH: Important Information About Prior Authorizations. March 9, 2023. When we migrated to our new provider portal (Epic Tapestry Link) on January 3, 2023, …

https://provider.healthalliance.org/informed-post/flash-important-information-about-prior-authorizations/

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Utilization Management - Providers - Health Alliance

(3 days ago) WebHealth Alliance values you as a provider and recognizes that our members’ health is in your hands. We share your goals to ensure that your patients/our members receive …

https://www.healthalliance.org/um-providers

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FLASH: Attestation with LexisNexis and Prior Authorization

(7 days ago) WebOur provider directories are a key resource for our members to reach you. Members use them to search for new providers, get directions to clinics, and find …

https://provider.healthalliance.org/informed-post/flash-attestation-with-lexisnexis-and-prior-authorization-priority/

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Forms & Benefits - Health Alliance

(8 days ago) WebHealth Alliance brings you plans with quality doctors and hospitals, unbelievably helpful customer service, and ways to save in Illinois, Iowa, Indiana, Ohio and Washington. …

https://www.healthalliance.org/medicare/benefits

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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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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WebTo check status of Prior Authorization and/or changes to the Prior Authorization, go to NaviNet.net. If a response for a Prior Authorization request for non-emergency services …

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

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Provider Resource Center Cascade Health Alliance

(7 days ago) WebCascade Health Alliance has established policies and procedures that govern the effectiveness of our programs. These policies establish points of contact and …

https://www.cascadehealthalliance.com/for-providers/provider-resource-center/

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Horizon Advantage Direct Access - eHealth

(6 days ago) WebPrior Authorization Some services/procedures require prior authorization. For a complete list, call our Customer Service department at 1-800-355-BLUE (2583) or refer to …

https://www.ehealthinsurance.com/ehealthinsurance/benefits/sbg/NJ/NJHorizon_ADV_DA_100_80_60.pdf

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Chiropractic & Physical Medicine Services Program Frequently …

(6 days ago) WebMouse over Eligibility & Benefits and select Eligibility & Benefits Inquiry. If you do not have access to NaviNet, you may obtain member benefit information by calling Physician …

https://www.horizonblue.com/sites/default/files/2019-07/ASH_External_FAQ.pdf

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Horizon Blue Cross Blue Shield of New Jersey - MyPrime

(Just Now) WebAn Independent Licensee of the Blue Cross and Blue Shield Association. If you need help understanding this Horizon Blue Cross Blue Shield of New Jersey information, you have …

https://www.myprime.com/content/dam/prime/memberportal/forms/2019/FullyQualified/Other/ALL/HBCBSNJ/COMMERCIAL/ALL/NJ_Specialty_Drug_List.pdf

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Jiva Provider Portal - Alliance Health

(3 days ago) WebBeginning May 1, 2024, due to the implementation of the Jiva Provider Portal, Alliance Health will accept behavioral health retrospective requests for services that will …

https://www.alliancehealthplan.org/provider-updates/jiva-provider-portal/

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How to help patients with prior authorization - SingleCare

(8 days ago) WebNotify the healthcare provider: The pharmacist faxes, messages, or calls in a notice to the healthcare provider that prior authorization is required before the …

https://www.singlecare.com/blog/how-to-help-patients-with-prior-authorization/

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BostInno - Cohere Health expands platform to solve the prior

(8 days ago) WebCohere Health, a top honoree in the healthtech category of Inno Fire Awards, is expanding the way it uses its prior-authorization platform in a continued partnership …

https://www.bizjournals.com/boston/inno/stories/news/2024/04/26/cohere-expanding-platform-to-solve-the-prior-auth.html

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WASHINGTON, SATURDAY, APRIL 20, 2024 No. 70 House of …

(1 days ago) WebU N Congressional Record U M E P L RI B U S United States of America PROCEEDINGS AND DEBATES OF THE 118 th CONGRESS, SECOND SESSION b …

https://www.congress.gov/118/crec/2024/04/20/170/70/CREC-2024-04-20.pdf

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30448 Federal Register /Vol. 89, No. 79/Tuesday, April 23

(8 days ago) Webannual health equity analysis of the use of prior authorization at the plan-level. The analysis will examine the impact of prior authorization on enrollees with one …

https://www.govinfo.gov/content/pkg/FR-2024-04-23/pdf/2024-07105.pdf

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ANNUAL INTELLECTUAL PROPERTY REPORT TO CONGRESS

(8 days ago) WebHealth Care Provider Education Illegal Stimulants, Opioids, and Benzodiazepines Online and Warning Letters Issued Schedule II stimulants have an acknowledged high potential …

https://www.whitehouse.gov/wp-content/uploads/2024/04/IPEC-FY-23-Annual-Report_Final.pdf

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