Highmark wholecare prior authorization number

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August undefined, 2024

WebThey are intended to reflect Highmark's coverage and reimbursement guidelines. Coverage may vary for individual members, based on the terms of their benefit contract. Highmark … Webmonths prior to using drug therapy AND • The patient has a body mass index (BMI) greater than or equal to 30 kilogram per square meter OR • The patient has a body mass index (BMI) greater than or equal to 27 kilogram per square meter AND has at least one weight related comorbid condition (e.g., hypertension, type 2 diabetes mellitus or

Highmark Wholecare - Connection Center

WebFindhelp is a separate company that gathers community based organization resources for Highmark Wholecare. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, coverage by Gateway Health Plan, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). WebHighmark Wholecare Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 . Page . 1. of . 8. I. Requirements for Prior Authorization of Analgesics, Opioid Long-Acting . A. Prescriptions That Require Prior Authorization. All prescriptions for Analgesics, Opioid Long-Acting must be prior authorized. B. Review of Documentation for Medical Necessity flea market athens alabama

Customer Service - Highmark Blue Cross Blue Shield

WebRadMD is a user-friendly, real-time tool offered by Magellan Healthcare that provides ordering and rendering providers with instant access to prior authorization requests for specialty procedures. Whether submitting exam requests or checking the status of prior authorization requests, providers will find RadMD to be an efficient, easy-to ... Webto Highmark Health Options at 1-855-451-6663. Authorization is based on medical necessity. Incomplete information or illegible forms will delay processing. Questions or … cheesecake ohne backen

National Imaging Associates (NIA) Coordinated Care

WebThe prior authorization process will apply to all Highmark Health Options members. Medical necessity criteria for both medications are outlined in specific medication policies. Review prior authorization policies and a complete list of the specific medications requiring prior authorization online at hho.fyi/med-info or scan the QR code. WebApr 6, 2024 · Behavioral Health (Outpatient - ABA) Service Authorization Request. Designation of Authorized Representative Form. Home Health Precertification Worksheet. Inpatient and Outpatient Authorization Request Form. Pharmacy Prior Authoriziation Forms. Last updated on 4/6/2024 11:55:30 AM. flea market at shipshewana indianaWebApr 6, 2024 · Authorization Forms. Bariatric Surgery Precertification Worksheet. Behavioral Health (Outpatient - ABA) Service Authorization Request. Designation of Authorized … cheesecake old orchard

"WebProvider Responsibilities & Guidelines. Unit 1: PCPs & Specialists. 2/2024. Unit 2: Behavioral Health Providers. 12/2024. View More. " - Highmark wholecare prior authorization number

Highmark wholecare prior authorization number

WebHighmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of … WebHighmark Wholecare began a prior authorization program through Magellan Healthcare for the management of Physical Medicine Services. The program includes ... Authorization Number/Case ID Number: 12345ABC1234. Initiating a Subsequent Request 14 How are subsequent requests initiated? When is a subsequent request

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Webprescription drug medication request form fax to 1-866-240-8123 extended release opioid prior authorization form patient information subscriber id number WebThe Magellan Healthcare authorization number consists alpha/numeric characters. In some cases, you may instead receive a Magellan Healthcare tracking number (not the same as …

WebSuch a request for prior authorization will be approved when, in the professional judgment of the physician reviewer, the services are medically necessary to meet the medical needs of the beneficiary. Highmark Wholecare Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 NON-PREFERRED MEDICATION PRIOR AUTHORIZATION FORM (form effective … WebPlease complete one section only and check appropriate box prior to submission. 4. If you have any questions, please call WHN @ 866-656-6072 Request for Extension of Authorization End Date: 10 Days 20 Days 30 Days To request an extension of the treatment timeframe (end date) on visits previously ... number and the best day and time to reach you.

WebHighmark Wholecare Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 . Effective 1/3/22. I. Requirements for Prior Authorization of Opioid Dependence Treatments. A. … Web3— Highmark Wholecare Medical Specialty Solutions Program – FAQ (Revised 01/2024) Healthcare for a Medical Specialty Solutions outpatient service? Medicaid: • 1-800-424 …

WebSubscriber ID Number Highmark Coverage Group Number Patient Name Phone Number Date of Birth Patient Address City State Zip Code Drug name (only. ... Please note that the drugs and therapeutic categories managed under our Prior Authorization and Managed Prescription Drug Coverage (MRXC) programs are subject to change based on the FDA ...

WebA separate prior authorization number is required for each procedure ordered. Prior authorization is not required through NIA for services performed in the emergency department, on an inpatient basis or in conjunction with a surgery. Prior authorization and/or notification of admission in those instances is required through the health plan. flea market at shipshewanaWebFor anything else, call 1-800-241-5704 (TTY/TDD: 711) Monday through Friday 8:00 a.m. to 5:00 p.m. EST Have your Member ID card handy. Providers Do not use this mailing … cheesecake on a stick dayton ohio food truckWebHighmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. cheesecake olympicsWebCommunity Blue Medicare PPO. 1-888-757-2946. 711. Monday-Sunday. 8:00am - 8:00pm. Not a Highmark member? Call 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. flea market atwater caWebEffective 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, cheesecake on a stick businessWebOct 17, 2024 · or call 412-690-7400 (TTY 711). For questions about our Harrisburg location, please email us at [email protected] or call 717 … cheesecake oldsmarWeb1National Imaging Associates, Inc. is a subsidiary of Magellan Healthcare, Inc. 1 — Highmark Wholecare- Physical Medicine QRG (revised 01/2024) Magellan Healthcare1 Frequently Asked Questions (FAQ’s) Prior Authorization Program Physical Medicine Services (Effective October 1, 2024) cheesecake on a family restaurant menu