Capital Health Plan Referral Process

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Referrals and Authorizations Capital Health Plan

(3 days ago) WEBReferrals and Authorizations. Referral is the process of sending a patient to another practitioner (ex. specialist) for consultation or a health care service that the referring source believes is necessary but is not prepared or qualified to provide. Your …

https://capitalhealth.com/medicare/referrals-and-authorizations

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FAQ What if I need to see a specialist? Capital Health Plan

(9 days ago) WEBAnswer: Members have direct access to a network of specialists for office visits and consultations. Your primary care physician should be able to assist you for other …

https://capitalhealth.com/faq-what-if-i-need-see-specialist

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Frequently Asked Questions Capital Health Plan

(Just Now) WEBThe Physician Group of Capital Health Plan provides comprehensive health care exclusively for Capital Health Plan members. Their goal is to promote disease …

https://www2.capitalhealth.com/faq/member-services

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MEDICAL SERVICES THAT REQUIRE PRIOR AUTHORIZATION

(8 days ago) WEBthe service itself is covered under all benefit plans. Please refer to the individual Capital Health Plan member benefit handbook for more information about services that may be …

https://capitalhealth.com/sites/default/files/uploaded-documents/MEDICAL%20SERVICES%20THAT%20REQUIRE%20PRIOR%20AUTHORIZATION%207-26-21.pdf

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Frequently Asked Questions Capital Health Plan

(4 days ago) WEBDoctor and Provider Practice. If you are a doctor or provider, here are some common questions and answers when you need help.

https://www2.capitalhealth.com/faq

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Programs & Procedures Capital Health Plan

(3 days ago) WEBTherefore, Capital Health Plan will only accept this form when submitted and completely filled out as directed by the instructions. Incomplete forms will not be considered a valid …

https://webmail.capitalhealth.com/providers/programs-procedures

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Find a Doctor or Provider Capital Health Plan

(1 days ago) WEBFind a Doctor or Provider. Search Capital Health Plan's extensive network to find the doctor or provider that's right for you. Download a copy of the Medicare Network …

https://www2.capitalhealth.com/directories/provider-directory

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Members Capital Health Plan

(8 days ago) WEBFor more than forty years, Capital Health Plan has provided comprehensive and affordable health care to our members in Tallahassee and surrounding areas. CHP offers a broad …

https://www2.capitalhealth.com/members

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Tools for Doctors and Providers Capital Health Plan

(9 days ago) WEBCapital Health Plan members can access this online tool. Document Center. View various documents and plan information. FAQ. Find answers to the most common questions …

https://www2.capitalhealth.com/providers/provider-resources

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Retiree Advantage - More Information & Forms Capital Health Plan

(8 days ago) WEBThese forms can be used to request an exception to your drug coverage: Request for Medicare Prescription Drug Coverage Determination Form is for member …

https://ahs.capitalhealth.com/medicare/ra-more-information

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About Us Capital Health Plan

(9 days ago) WEBOur Mission & History. In 1982, a group of Tallahassee’s civic leaders came together to create a quality, affordable health care system to meet the health needs of the …

https://www2.capitalhealth.com/about-us

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Getting a referral - Capital Blue Cross

(2 days ago) WEBIt is your PCP's responsibility to submit your referral documentation. You don't need referral documentation for claims that are less than $300. If you have an HMO: referrals …

https://www.capbluecross.com/wps/portal/cap/home/explore/resource/getting-referral

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Clinical Guidelines Capital Health Plan

(Just Now) WEBClinical Guidelines. Find CHP-approved clinical practice and preventive guidelines below. These guidelines are regularly reviewed and updated by the Quality Improvement …

https://www2.capitalhealth.com/providers/clinical-guidelines

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Find Forms and Documents Capital BlueCross

(8 days ago) WEBHealthcare benefit programs issued or administered by Capital Blue Cross and/or its subsidiaries, Capital Advantage Insurance Company®, Capital Advantage Assurance …

http://myhealthtoolkitcapital.com/web/public/brands/cbc/manage-your-plan/find-forms-and-documents/

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBFor questions about Behavioral Health claim submissions, please call 1-800-682-9091. PRIOR AUTHORIZATION To confirm Horizon NJ Health’s receipt of a Prior …

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

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Programs & Procedures Capital Health Plan

(5 days ago) WEBEffective 1/1/2017, the Florida Legislature requires all insurers to use the Universal Prior Authorization Form. Therefore, Capital Health Plan will only accept this form when …

https://capitalhealth.com/providers/programs-procedures

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Managed Care - Healthplex

(7 days ago) WEBDo members need a referral to see a specialist? For members enrolled in the Select plan, referrals are not needed, and members receive care from our Capital Network …

https://www.healthplex.com/doc/fn/f-2517mc_managed_care_faq_reduced

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Referral submission rules - Independence Blue Cross (IBX)

(6 days ago) WEBReferral submission rules. Independence does not accept paper referrals with HMO/POS claims for payment. Any paper referrals submitted will be returned to the issuing provider …

https://www.ibx.com/resources/for-providers/claims-and-billing/claims-resources-and-guides/referral-submission-rules

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Early Intervention Services in New Jersey Frequently Asked …

(7 days ago) WEBEarly intervention services are designed to address a problem or delay in development as early as possible. The services are available for infants and toddlers up to age three. …

https://www.nj.gov/health/fhs/eis/documents/njeis_faq.pdf

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