Highmark bcbs prior authorization number
WebJan 9, 2024 · Call the Provider Service Center at 1-800-543-7822, for information regarding specific plans. For all other Highmark West Virginia members, complete the Prescription Drug Medication Request Form and mail it to the address on the form. To search for drugs and their prior authorization policy, select Pharmacy Policies - SEARCH on the left menu … WebJul 1, 2024 · Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue Shield Plans. 5 Ear Molds Services Codes Prior Authorization Requirement Ear mold/insert, not disposable, any type. V5264 If the cost is greater than $500, prior authorizations are required.
Highmark bcbs prior authorization number
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WebMar 13, 2024 · Behavioral Health Fax Number for Authorization Requests: 1-877-650-6112 For precertification or continued stay review requests for Behavioral Health treatment, please submit relevant clinical information via fax to 1-877-650-6112. WebPlease note that the drugs and therapeutic categories managed under our Prior Authorization and MRXCprograms are subject to change based on the FDAapproval of new drugs. HIGHMARK MEDICARE-APPROVED FORMULARIES Additional drugs and/or therapeutic categories that require prior authorization and the required information are …
WebPrior Authorization Soon Required For SOC Infusion Drugs Included In FEP. Read More Special Bulletins. Provider News. Issue 3, March 2024. Medical Policy Update. March 2024. ... Contact Us. Provider Directory. Site Map. Legal Information. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of ... WebApr 6, 2024 · Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves …
WebTo view the out-of-area Blue Plan's medical policy or general pre-certification/pre-authorization information, please enter the first three letters of the member's identification … WebCall 1-866-488-7469 TTY: 711 (Monday - Sunday 8:00am to 8:00pm EST) to talk to a representative who can answer questions about our plans. Mailing Address Highmark …
WebEffective Oct. 3, 2016, an additional 16 new CT/MR Imaging CPT codes will require prior authorization. Also beginning with dates of service on or after Oct. 3,
WebApr 1, 2024 · As a reminder, third-party prior authorizations for Highmark Health Options include CoverMyMeds, Davis Vision, eviCore, and United Concordia Dental. Have questions? We can help. Review the Prior Authorizations section of the Provider Manual. Call Provider … cup head bolts stainlessWebsubject to prior authorization requirements. To request a prior authorization: Log in at www.evicore.com or call eviCore healthcare’s call center at 888-564-5492 between 7 a.m. – 7 p.m. local time. If prior authorization is initiated via phone and additional clinical information is required, fax to 1-800-540-2406. Be sure to include the ... cuphead bosses tiermakerWebTHIS REQUEST FOR AUTHORIZATION REVIEW CANNOT BE PROCESSED WITHOUT SUPPORTING CLINICAL DOCUMENTATION AND/ OR INFORMATION – NO EXCEPTIONS. Requests missing clinical information will be returned to the requesting provider, delaying the review process. Please fax completed form to Clinical Services: 888.236.6321 … cup head as a skullWebHighmark transitions to MCG health clinical guidelines. Effective February 13, 2024, Highmark will incorporate MCG Health clinical guidelines into Highmark’s criteria of clinical decision support, replacing Change Healthcare (InterQual). This change is being made to align the clinical review processes and platforms for Highmark health plans. cuphead blimp bossWebHome page ... Live Chat easycare percale fitted sheetWebPrior Authorization Requests for Medical Care and Medications. Some medical services and medications may need a prior authorization (PA), sometimes called a “pre-authorization,” before care or medication can be covered as a benefit. Ask your provider to go to Prior Authorization Requests to get forms and information on services that may ... cuphead boss death quotesWeb24 hours a day, 7 days a week. 1-800-313-8628. Highmark EDI Operations. Mon. – Fri., 8 a.m. – 5 p.m. 1-800-992-0246. Independence Administrators. Provider Services (direct all inquiries or issues directly to Independence Administrators) 1-888-356-7899. Independence Blue Cross and Highmark Blue Shield Caring Foundation. cuphead boss and run and gun tier list