WebNov 1, 2024 · Highmark Expanding our prior authorization requirements. Effective November 1, 2024, Highmark is expanding our prior authorization requirements for outpatient services to include those services provided by out-of-area providers participating with their local Blue Plan. This will ensure that the care our members receive while living … WebObtaining Authorizations. Behavioral Health: 877-650-6112. Gastric Surgery/Therapy/Durable Medical Equipment/Outpatient Procedures: 888-236-6321. Home Health/Home Infusion Therapy/Hospice: 888-567-5703. Inpatient Clinical: 800-416-9195. Medical Injectable Drugs: 833-581-1861. Musculoskeletal ...
Prior Authorization/Notification Information - Radiology …
WebPrior Authorization Requests Blue Cross and Blue Shield of Texas Prior Authorization Requests for Medical Care and Medications Some medical services and medications may need a prior authorization (PA), sometimes called a “pre-authorization,” before care or medication can be covered as a benefit. WebHighmark's mission is to be the leading health and wellness company in the communities we serve. Our vision is to ensure that all members of the community have access to affordable signal 6 occurred. vg has crashed
Authorization Requirements - hwnybcbs.highmarkprc.com
Weband QCC Insurance Company, and with Highmark Blue Shield — independent licensees of the Blue Cross and Blue Shield Association. 1345023 (7/1/2024) IBC Specialty drugs requiring precertification All listed brands and their generic equivalents or biosimilars require precertification. This list is subject to change. * Pending FDA approval. WebHighmark transitions to MCG health clinical guidelines. Effective February 13, 2024, Highmark will incorporate MCG Health clinical guidelines into Highmark’s criteria of clinical decision support, replacing Change Healthcare (InterQual). This change is being made to align the clinical review processes and platforms for Highmark health plans. WebMar 1, 2024 · Association. Highmark Inc. d/b/a Highmark Blue Shield and certain of its affiliated Blue companie s serve Blue Shield members in 21 counties in central Pennsylvania and 13 counties in northeastern New York. As a partner in joint operating agreements, Highmark Blue Shield also provides services in conjunction with a separate health plan in ... the privileges author