Highmark wholecare prior authorization number

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 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 ...

Durable Medical Equipment (DME) Prior Authorization …

Web3— Highmark Wholecare Medical Specialty Solutions Program – FAQ (Revised 01/2024) Healthcare for a Medical Specialty Solutions outpatient service? Medicaid: • 1-800-424 … 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. … ctrl + click to follow link not working https://alliedweldandfab.com

National Imaging Associates (NIA) Coordinated Care

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 ... 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. WebUse the online Prior Authorization Code Lookup and search by codes or review the latest Highmark Health Options Prior Authorization List. Updated quarterly, this document lists codes and prior authorization requirements for medical procedures and services. ctrl click open new tab

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Category:Specific Medications Require Prior Authorization - Highmark …

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Highmark wholecare prior authorization number

Customer Service - Highmark Blue Cross Blue Shield

WebApr 1, 2024 · As a reminder, third-party prior authorizations for Highmark Health Options include CoverMyMeds, Davis Vision, eviCore, and United Concordia Dental. Have … WebPrior Authorization Request Form Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue Shield Plans. Complete and fax all requested information below including any supporting documentation as applicable to Highmark Health Options at 1-855-451-6663.

Highmark wholecare prior authorization number

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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. 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.

WebPrior Authorization For the following drugs and/or therapeutic categories, the diagnosis, applicable lab data, and involvement of specialists are required, plus additional information as specified: • Anti-rheumatic drugs (Enbrel, Humira, Kineret) • Forteo: at least two other osteoporotic therapies and risk for fractures (e.g., T-score) 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.

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 WebFor 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 …

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 …

WebJun 2, 2024 · Fax: 1 (866) 240-8123 Mail: Medical Management & Policy, 120 Fifth Avenue, MC P4207, Pittsburgh, PA 15222 How to Write Step 1 – In “Patient Information”, supply the patient’s subscriber ID number, … earth \u0026 stone huntsville alWebHighmark 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. earth \u0026 stone reggaeWebIs prior authorization necessary if Highmark Wholecare is not the member’s primary insurance? Yes. What does the Magellan Healthcare authorization number look like? Quick Contacts Website: www.RadMD.com Toll Free Phone Numbers: Medicare: 1-800-424-1728 Medicaid: 1-800-424-4890 earth \u0026 tree dollhouse miniaturesWebSuch 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 … ctrl click to tp scriptWebto Highmark Health Options at 1-855-451-6663. Authorization is based on medical necessity. Incomplete information or illegible forms will delay processing. Questions or … ctrl/cmd+v and hit okWebHighmark 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 … ctrl click to open new tabWebHighmark 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 earth \u0026 stone