Health First Pre Cert List

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Providers: Authorizations Health First

(5 days ago) WEBCertain items and services require prior authorization (pre-certification) to evaluate medical necessity and eligibility for coverage. See the current Authorization List to determine if prior authorization is required for general categories of services. We use …

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

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Medical Prior Authorization List (Small and Large Group

(5 days ago) WEBHealth First Health Plans reduce the review turnaround time. If you are a non-participating provider or encounter issues submitting via the online provider portal, please fax your …

https://training.health-first.org/sites/default/files/2022-09/auth_list.pdf

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Precertification Lists - Aetna

(2 days ago) WEBParticipating providers are required to pursue precertification for procedures and services on the lists below. 2024 Participating Provider Precertification List – …

https://www.aetna.com/health-care-professionals/precertification/precertification-lists.html

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Health Plan Forms and Documents Healthfirst

(3 days ago) WEBAppointment of Representative Form (AOR) for All Medicare Plans. Complete this form if you want to name someone you trust to act on your behalf to ask for an exception or …

https://healthfirst.org/forms-and-documents

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Accreditations, certifications, and awards Health First

(4 days ago) WEBHealth First Cape Canaveral Hospital. Accreditation by the Joint Commission. Accredited by International Commission for Accreditation of Echo Laboratories (ICAEL) American …

https://hf.org/about-us/accreditations-certifications-and-awards

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Find a Doctor Healthfirst

(7 days ago) WEBFinding a doctor near you is easy with Healthfirst’s provider directory. We have a large network of doctors for you to choose from.

https://healthfirst.org/find-a-doctor

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Pre-Cert/Pre-Auth (In-Network) - CareFirst

(8 days ago) WEBIn-network services requiring Pre-Service Review (Pre-Certification and Pre-Authorization) in the CareFirst BlueCross BlueShield network. If you cannot complete your …

https://provider.carefirst.com/providers/medical/in-network-precertification-preauthorization.page

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Precertification – Health Care Professionals Aetna

(9 days ago) WEBPrecertification occurs before inpatient admissions and select ambulatory procedures and services. Precertification applies to: You can submit a precertification by electronic data …

https://www.aetna.com/health-care-professionals/precertification.html

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Aetna Precertification and Referral guide

(6 days ago) WEBVerify the date of birth and resubmit the request. Please call the appropriate number below and select the option for precertification: 1-888-MD-AETNA (1-888-632-3862) (TTY: …

https://www.aetna.com/document-library/healthcare-professionals/assets/documents/aetna-precertification-and-referral-guide.pdf

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Pre-Cert/Pre-Auth (Out-of-Area) - CareFirst

(4 days ago) WEBIf the service you are inquiring about does require a Pre-Service Review, use your local Plan’s Electronic Provider Access (EPA) tool to submit the request. If your Plan does not …

https://provider.carefirst.com/providers/medical/out-of-area-pre-service-review.page

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Pre-Cert/Pre-Auth (Out-of-Area) - CareFirst

(9 days ago) WEBPre-Service Review (Pre-Certification and Pre-Authorization) for Out-of-Area CareFirst BlueCross BlueShield members. If you cannot complete your eligibility/benefits inquiry …

https://provider.carefirst.com/providers/medical/out-of-area-precertification-preauthorization.page

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Digital Health Software Precertification (Pre-Cert) Pilot Program

(2 days ago) WEBThe Software Precertification (Pre-Cert) Pilot Program: Tailored Total Product Lifecycle Approaches and Key Findings: Sept. 14, 2020: 2020 update on progress of the Pre-Cert …

https://www.fda.gov/medical-devices/digital-health-center-excellence/digital-health-software-precertification-pre-cert-pilot-program

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Prior Authorization and Notification UHCprovider.com

(3 days ago) WEBPrior authorization information and forms for providers. Submit a new prior auth, get prescription requirements, or submit case updates for specialties. Health care …

https://www.uhcprovider.com/en/prior-auth-advance-notification.html?rfid=UHCOContRD

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Pre-Certification/Utilization Management - Lucent Health

(6 days ago) WEB888-585-3309. Monday-Friday from 7 a.m. to 7 p.m. CT. Ask Concierge. Pre-Certification & Utilization Management - Streamlined healthcare approvals for cost-effective …

https://lucenthealth.com/pre-certification-utilization-management/

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Prior Authorization Oscar

(3 days ago) WEBFootnotes. Generally, in-network Health Care Providers submit prior authorization requests on behalf of their patients, although Oscar members may contact their Concierge team …

https://www.hioscar.com/prior-authorization

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Prior Authorizations Health Partners Plans

(4 days ago) WEBHealth Partners Plans. ATTN: Complaints and Grievances Unit. 901 Market Street, Suite 500. Philadelphia, PA 19107. You can also call Member Relations at 1-800-553-0784 …

https://www.healthpartners-medicare.com/members/health-partners/resources/prior-authorizations

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Procedures, programs and drugs that require precertification

(2 days ago) WEBSpinraza (nusinersen) — precertification required and effective 7/1/2021 site of care required. Spravato (esketamine) Synagis (palivizumab) Tegsedi (inotersen. Treanda …

https://www.aetna.com/content/dam/aetna/pdfs/health-care-professionals/2021-precert-list.pdf

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Health Insurance Program - NJ Protect

(2 days ago) WEBNJ Protect is a new health insurance option for uninsured New Jerseyans with pre-existing medical conditions. Coverage through NJ Protect will generally cost less than …

https://www.nj.gov/dobi/division_insurance/njprotect/index.htm

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Federal Employee Program (FEP) authorization list Wellmark

(4 days ago) WEBIf you have questions regarding the list, please contact the dedicated FEP Customer Service team at 800-532-1537. You may also view the prior approval information in the …

https://www.wellmark.com/provider/medical-policies-authorizations/fep-authorizations

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBThe UM Department uses nationally recognized criteria in the certification process. If the criteria are met, the UM Department will inform the provider or provider’s representative …

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

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Atlantic Mobile Health - Atlantic Training Center

(9 days ago) WEBAtlantic Training Center. Class schedules and registration. ATC also offers CPR and First Aid training to community groups, businesses, and the general public. Courses are held …

https://atlanticambulance.org/atlantic_training_center.html

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Horizon Blue Cross Blue Shield of New Jersey - MyPrime

(Just Now) WEBHorizon BCBSNJ – Director, Regulatory Compliance Three Penn Plaza East, PP-16C Newark, NJ 07105 Phone: 1-800-658-6781 Fax: 1-973-466-7759 Email: …

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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health precertification list for - Aetna

(4 days ago) WEBEfective May 1, 2023. This document is a quick guide for your ofice to use for behavioral health precertification with patients enrolled in Aetna health plans. This process is also …

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/healthcare-professionals/documents-forms/bh_precert_list.pdf

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