• Preauthorization and Precertification

    Pre-Cert/Pre-Auth (In-Network) View the list of services below and click on the links to the criteria used for Pre-Service Review decisions. To view the medical policies associated with each service, click the link or search for the policy number in the Medical Policy Reference Manual. Anthem Blue Cross and Blue Shield Maine P.O. Box Atlanta, GA Find out which services require prior approval: Standard and Basic Option prior approval list. FEP Blue Focus prior approval list. Complete and fax the appropriate prior approval request form to Georgia Local Precertification/Prior Authorization List Updated: 01/01/20 Eligibility and benefits: Eligibility and benefits can be verified by the Anthem lue ross and lue Shield web site or by the number on the back of the member’s identification card. Oct 1, • Administrative. The National Pre-certification list has been published. Please note, providers should continue to verify member . The “Prior authorization list” is a list of designated medical and surgical services and select prescription Drugs that require prior authorization under the medical benefit. The list below includes specific equipment, services, drugs, and procedures review and/or supplemental documentation prior to payment authorization. Apr 25,  · BCBS Federal Phone Number - FEP List Statewise Customer Service Precertification Mental Health/Substance Abuse Case Management Hospital; Alabama () Authorization Requirements Your insurance coverage may require authorization of certain services, procedures, and/or DMEPOS prior to the procedure or service. The authorization is typically obtained by the provider. Some authorization requirements vary by member contract. This site is intended to serve as. Precertification requirements for members covered under the Federal Employee Benefit plan The Federal Employee Benefit Program (FEP) requires precertification for the services. These services must meet the FEP medical policies, which can be at.

    Prior Authorization Code Lists Use these lists to identify the member services that require prior authorization. You can view the current prior approval list here. Any drugs, services, treatment, or supplies that the CareFirst medical staff determines, with appropriate consultation, to be experimental, investigational or unproven are not covered services. Fargo Headquarters 13th Ave. You can also visit bcbs. Learn more here. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Need Insurance? It looks like you're in. The protection of your privacy will be governed by the privacy policy of that site. This is known as prior approval. Your browser is not supported. Your dashboard may experience future loading problems if not resolved.

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