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Health First Code List

WebCCTA. 0626T. Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary …

Actived: 5 days ago

URL: https://d23l36htrrhty7.cloudfront.net/s3fs-public/resources/2023-11/Health%20First_Rad_CPTListeff01.01.2024_Pub11.20.2023.pdf

DURABLE MEDICAL EQUIPMENT

WebThe evidence has not matured to exhibit improved health parameters The durable medical equipment lacks a collective opinion of support Same or Similar DME, Prosthetics, and …

Category: Medical Go Health

Expanded Partnership with eviCore

Webplans: Child Health Plus, Essential Plan, Leaf Plan, Leaf Premier Plan, Medicare Advantage plans, Medicaid, Personal Wellness Plan, Pro EPO, and Pro Plus …

Category: Health Go Health

Quick Reference Guide

WebCountyCare Health Plan Durable Medical Equipment Quick Reference Guide V1 Prior Authorization Services eviCore healthcare (eviCore) will begin accepting prior …

Category: Medical Go Health

Durable Medical Equipment Utilization Management Program …

WebMedical Equipment (DME) services on October 30, 2023 for dates of service on November 1, 2023 and beyond. PriorAuthorization doesNOTapply to services that are performed in: …

Category: Medical Go Health

Sleep Management

WebImportant: Authorization from eviCore does not guarantee claim payment. Services must be covered by the health plan and the member must be eligible at the time services are …

Category: Health Go Health

Authorization Request Overview for Physical, Occupational, …

Web• Security Health Plan allows providers to evaluate and treat at the initial visit. • The evaluation code does not require prior authorization but treatment does. • If treatment is …

Category: Health Go Health

eviCore Programs: Provider FAQs

WebSelect service type 30: “Health Benefit Plan Coverage.” If the member is delegated, the response will include this message: EVICORE-DELEGATED MEMBER – FOR HIGH …

Category: Health Go Health

Sleep Management

WebIf the health plan does not populate, please contact the plan at the number found on the member’s identification card. Once the plan is chosen, please select the provider …

Category: Health Go Health

Radiology Program Frequently Asked Questions Aetna Better …

WebAetna Better Health of West Virginia . What is the relationship between Aetna Better Health of West Virginia (ABH WV) and eviCore healthcare? ABH WV has partnered with …

Category: Health Go Health

Overview of eviCore programs for Blue Cross Blue Shield of …

Web“Health Benefit Plan Coverage.” Medicare Advantage (MA) members with AZ Blue-administered benefit plans are included in the MA eviCore program (see table below). …

Category: Health Go Health

Frequently Asked Questions

WebParticipation status can be verified by calling the health plan number on the back of the member’s insurance card. Providers may also contact EviCore at 844-303-8456. EviCore …

Category: Health Go Health

Neighborhood Health Plan Transforming Brand to AllWays …

Webhealth care industry status quo with innovative products and services for the commercial marketplace designed to give members positive experiences and access to …

Category: Health Go Health

Radiology & Cardiovascular Imaging Utilization Management …

WebAdvantage Health Plan (WMAHP). WMAHP currently performs utilization management for MA members via a separate process that can be accessed via the online Wellmark …

Category: Health Go Health

Musculoskeletal Therapies Program

Webthe patient’s life, health, ability to regain maximum function, or the patient is having severe pain that required a medically urgent procedure. All urgent requests must be initiated …

Category: Medical Go Health

Security Health Plan

WebNuclear Cardiac Imaging. 78496. Cardiac blood pool imaging, gated equilibrium, single study, at rest, with right ventricular ejection fraction by first pass …

Category: Health Go Health

Effective April 01, 2024 DRAFT

WebThe following coverage policy applies to health benefit plans administered by Cigna. Coverage policies are intended to provide guidance in interpreting certain …

Category: Health Go Health

Cigna Medical Coverage Policies – Radiology Preface to the …

WebThe following coverage policy applies to health benefit plans administered by Cigna. Coverage policies are intended to provide guidance in interpreting certain …

Category: Health Go Health

Priority Health Cardiology, Radiology, and Ultrasound Code List

WebMagnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and …

Category: Health Go Health

Cigna Medical Coverage Policies – Radiology Peripheral …

WebThe following coverage policy applies to health benefit plans administered by Cigna. Coverage policies are intended to provide guidance in interpreting certain …

Category: Health Go Health

CPT® Code CPT® Code Description Code Type

WebQualified Health Care Professional's Time, Both Face-To-Face Time Administering Tests To The Patient And Time Interpreting These Test Results And Preparing The Report …

Category: Health Go Health

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