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, WebMusculoskeletal (eviCore): 800-540-2406. Telephone: For inquiries that cannot be handled via NaviNet, call the appropriate Clinical Services number, which can be found here. …

Free Highmark Prior (Rx) Authorization Form - PDF – …

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 . Page . 1. of . 5. I. Requirements for Prior Authorization of Migraine Acute Treatment Agents . A. Prescriptions That Require Prior Authorization . Prescriptions for Migraine Acute Treatment Agents that meet any of the following conditions must be prior authorized: 1. city of lynchburg ifb 2023 - 035

PRIOR AUTHORIZATION CRITERIA - Caremark

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. 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 WebHighmark 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. city of lynchburg jobs