Clear Health Alliance Prior Authorization

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Referrals & prior authorizations Florida Clear Health Alliance

(3 days ago) WebSome services require prior authorization from Clear Health Alliance. This means that your doctor must ask us to approve those services before you get them. For services not listed here, prior authorization may be required. Call Member Services at 1-844-406-2398 (TTY 711), or check with your primary care doctor to find out more.

https://www.clearhealthalliance.com/florida/care/referrals-prior-authorization.html

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Preauthorization Overview - Health Alliance

(5 days ago) Webfile your preauthorization at Clear Coverage, eviCore or through the Health Alliance forms for Durable Medical Supplies, Pharmacy or Medical in the middle. Follow the on-screen directions to file requests with these forms. See the Clear Coverage and eviCore sections for more info on using these tools. Preauthorization Requests

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

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Contact Us Florida Clear Health Alliance

(7 days ago) Web1-844-406-2398 (TTY 711) Our Member Services reps are here to help with: For help with issues accessing pediatric therapy providers, call 844-406-2398 (TTY 711) or email Martha Villalba at [email protected].

https://www.clearhealthalliance.com/florida/support/contact-us.html

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New prior authorization requirements for outpatient procedures

(3 days ago) WebClear Health Alliance (CHA) as well as the Florida Healthy Kids (FHK) program for Simply. Effective January 1, 2021, prior authorization (PA) requirements will be required for the below CPT® codes. For services that are scheduled on or after January 1, 2021, providers must contact the Prior

https://medicalpolicy.clearhealthalliance.com/docs/gpp/FL_SHC_CHA_NewPAReqrmntsforOPProcedures.pdf?v=202012100046

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August 2021 Provider Nesletter - Clear Health Alliance

(1 days ago) WebClear Health Alliance (CHA) Provider Services: Medicaid: 844-405-4296 https://provider.clearhealthalliance.com SFL-NL-0329-21 August 2021 Clear Health Alliance Medicaid Prior authorization required for specialty pharmacy drugs Effective for dates of service on and after May 1, 2021, the following specialty pharmacy codes from …

https://medicalpolicy.clearhealthalliance.com/docs/gpp/FL_SHC_CHA_ProviderNewsletter_Aug2021.pdf?v=202107301659

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Precertification Request - Simply Healthcare Plans

(7 days ago) Weban extension or modification of an existing authorization from Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply), please provide the authorization number with your submission. or to submit your request, use the following: Statewide Medicare Managed Care Managed Medical Assistance — prior authorization (PA) phone: 1-844-405

https://www.simplyhealthcareplans.com/florida-medicare/flfl_care_precertrequestform.pdf

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Contact Us - Clear Health Alliance

(8 days ago) WebPhone: 1-844-405-4296. Eligibility Verification — Prompt 1. Authorizations & Precertification — Prompt 2. Claims Status — Prompt 3. Provider Relations — Prompt 4. Pharmacy department — Prompt 5. Case Management — Prompt 6. Inpatient Coordination — Prompt 7. For help with pediatric therapy provider access issues, please contact 1

https://provider.clearhealthalliance.com/florida-provider/contact-us

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Fixing prior auth: Clear up what’s required and when

(3 days ago) WebFixing prior auth: Clear up what’s required and when. May 10, 2024. The time-wasting, care-delaying, insurance company cost-control process known as prior authorization has gone from a rarely employed tool to discourage use of extremely pricey interventions to a form of utilization management that comes as naturally to payers as …

https://www.ama-assn.org/practice-management/prior-authorization/fixing-prior-auth-clear-what-s-required-and-when

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Clear Health Alliance Preferred Diabetic Supply Information

(1 days ago) Webdiabetic meter and strips for Clear Health Alliance. Prior authorization (PA or preapproval) is required for coverage of non-preferred products. Please work with your or your child’s provider to get a prescription for one of the preferred products. These products can be filled at any in-network pharmacy.

https://www.clearhealthalliance.com/florida/flfl_cha_diabetic_supply_info_eng.pdf

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Florida Pharmacy Prior Authorization Form - Simply …

(3 days ago) WebClear Health Alliance, including current member eligibility, other insurance and program restrictions. We will notify the provider and the member’s pharmacy of our decision. 3. To help us expedite your Medicaid authorization requests, please fax all the information required on this form to . 1- 877-577-9045 . for retail pharmacy or . 1-844

https://provider.simplyhealthcareplans.com/docs/FLFL_SMH_Pharmacy_FLPharmacyPriorAuthForm.pdf

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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 communication and expedited notification of determinations. Alternatively, if you are unable to access the portal, fax this form and all chart documentation to (217) 902-9798.

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

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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-based appropriate care.

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

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