Precertification

Precertification

page 38 NOTICE AND PRECERTIFICATION REQUIREMENTS Services Requiring Notice Precertification is NOT required for the treatment of an "emergency condition."

www.empireblue.com

PRECERTIFICATION

The Avaya Inc. Retiree Medical Expense Plan Effective 1/1/2007, Updated 3/31/2008 This information is intended for Avaya Inc. Plan participants.

www1.avaya.com

Precertification Policy for Medical Services

Tufts Medicare Preferred Provider Manual Tufts Health Plan Medicare Preferred 1 www.tuftshealthplan.com/provider Precertification Precertification Policy for Medical Services Preregistration is a notification to Tufts Health Plan of utilization of inpatient or surgical day services.

www.tuftshealthplan.com

PRECERTIFICATION

The Avaya Inc. Retiree Medical Expense Plan for Salaried Employees Effective 1/1/2008, Updated 3/31/2008 This information is intended for Avaya Inc. Plan participants.

www1.avaya.com

Anthem Blue Cross and Blue Shield in Maine Prior ...

For information on prior authorization requirements for those members of National Accounts please see <Precertification Requirements for Groups Enrolled in National Accounts> .

www.anthem.com

Provider Roles and Responsibilities: Overview

Rev 08-24-2011 Page E — 2 Precertification , continued Precertification Overview Precertification determines whether medical services are: Medically Necessary or Experimental/Investigational Provided in the appropriate setting or at the appropriate level of care Of a quality and ...

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Aetna Participating Provider Precertification List

1. Inpatient confinements ■ ■ Surgical and non-surgical — Including vaginal or cesarean deliveries excluding routine delivery*** ■ ■ Rehabilitation facility ■ ■ Skilled nursing facility ■ ■ Inpatient hospice (except Medicare) 2.

www.aetna.com

PRECERTIFICATION FORM

florida health care plans p.o. box 9910 daytona beach, fl 32120 fhcp referrals dept - 386-238-3230 referral fax - 386-238-3253 fhcp 1-800-352-9824 auth #: precertification form request for precertification of elective procedures is required 5 business days prior to the date of service.

www.fhcp.com

Precertification and Referrals

www.oxfordhealth.com 59 Precertification and Referrals— Section 4 Precertification Responsibility for Precertification or Notification •Oxford participating providers and hospitals must notify Oxford at least 14 days prior to a patient's scheduled procedure; obstetrical admissions for normal ...

www.oxhp.com

NEW Radiology Precertification Program Clinical Guidelines ...

Visit us online at www.anthem.com In Indiana: Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. In Kentucky: Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Kentucky, Inc.

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