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 both internal and …

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

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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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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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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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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 outcomes. …

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

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HealthPartners - Provider Prior-Authorization

(Just Now) WebOur website no longer supports Internet Explorer. For the best browsing experience, we recommend using Chrome, Safari, Edge or Firefox.

https://www.healthpartners.com/provider/priorauth/

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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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Procedures, programs and drugs that require precertification

(2 days ago) WebParticipating provider precertification list Starting December 1, 2021 Applies to the following plans (also see General information section #1-#4, #9-#10): Aetna ® plans, except …

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

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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-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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HealthLink Medical Management Services Requiring Pre …

(9 days ago) WebServices Requiring Pre-Certification Effective January 1, 2020 For HealthLink Reviews 877-284-0102 • 800-510-2162 (fax) Phone Hours: 7:00 a.m. to 5:00 …

https://www.healthlink.com/documents/mm-aim_pre-cert_list_provider_20200101.pdf

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Prior Authorization Code Lookup - Highmark Health Options

(Just Now) WebReview the Prior Authorizations section of the Provider Manual. Call Provider Services at 1-844-325-6251, Monday–Friday, 8 a.m.–5 p.m. Or contact your Provider Account Liaison.

https://www.highmarkhealthoptions.com/providers/prior-auth-lookup.html

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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 Lookup - Keystone First

(2 days ago) WebAll results are subject to change in accordance with plan policies and procedures and the Provider Manual (PDF). If you have questions about this tool or a service or to request a …

https://www.keystonefirstpa.com/provider/resources/prior-authorization-lookup.aspx

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Geisinger Health Plan Prior Authorization List (2024)

(4 days ago) WebCohere Health, a patient journey optimization company, has been asked to deploy its Digital Prior Authorization solution to allow users to submit a variety of services …

https://payerinfo.zendesk.com/hc/en-us/articles/11647524567703-Geisinger-Health-Plan-Prior-Authorization-List-2024

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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: 711) …

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

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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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Credentialing Process Overview - Horizon BCBSNJ

(5 days ago) WebCertified Nurse Midwives, Certified Nurse Practitioners, Certified Registered Nurse Anesthetists, and Physician Assistants must establish a consultative, collaborative …

https://www.horizonblue.com/sites/default/files/2020-04/32244_Other_healthcare_professional_checklist.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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