Febuary 1st, 2019 New forms added to the portal Complex Case Review Form HP Authorization to Disclose PHI HRA Reporting Log COMING SOON: SUCCESS STORIES Care Navigation Services are offered to members that don't have a specific care coordinator assignment. ...
7,444were denied because the patient did not meet prior authorization criteria,0were denied due to incomplete information submitted by the care provider,0were denied due to a change in treatment program and0were denied because the patient was no longer covered by a plan ...
they may need to get pre-authorization (also known as prior authorization or precertification) from your insurance provider. The pre-authorization process allows your health plan to make sure you’re getting evidence-based, medically necessary care before they agree to cover it. ...