Health Alliance Prior Auth List

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Prior Authorization & Clinical Review Criteria - Health Alliance

(5 days ago) WEBPrior Authorization (PA) Lists* 2021 DME List Standard (1/1/2021-12/31/2021) 2022 DME List Standard (1/1/2022-12/31/2022) Health Alliance uses medical necessity criteria based on published clinical evidence to make utilization and prior authorization …

https://www.healthalliance.org/clinical-review-criteria

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Preauthorization Overview - Health Alliance

(5 days ago) WEBAuthorization field will be blank. You should log on again later to check its status. If an imaging service is pending, do not send the PDF to diagnostic imaging until the service …

https://www.healthalliance.org/media/Resources/pnm-preauthbklt-0518-WEB.pdf

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Prior Authorization List—Standard Effective January 1, 2024

(7 days ago) WEB****Chemotherapy initiated while the member is in an inpatient facility does not require prior authorization. PHUMHA24-PAListStandard-0923 Y0034_24_114877_C Updated …

https://www.healthalliance.org/media/services/default.pdf

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Preauthorization List—Standard Effective January 1, 2023

(1 days ago) WEBBreast implant surgeries. Gynecomastia surgery. Reduction mammoplasty, female. Cardiac imaging and procedures (echo, echo stress, cardiac rhythm implantable devices, …

https://www.healthalliance.org/documents/24063/2023

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Medications Requiring Preauthorization - Health Alliance

(1 days ago) WEBmust request preauthorization from Health Alliance Medicare forgs dru on this list. This list is subject to change. To request a written copy of the coverage criteria, please contact …

https://healthalliance.org/documents/1312

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Pharmacy/Medical Drug Prior Authorization Form - Health …

(4 days ago) WEBProviders are strongly encouraged to submit this form and all chart documentation via the Health Alliance Pharmacy Provider Portal. This will result in more reliable …

https://www.healthalliance.org/documents/124

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FLASH: Health Alliance Prior Authorization Changes for 2024

(9 days ago) WEBEach year, Health AllianceTM performs a comprehensive review and analysis around services needing prior authorization. In our last review cycle, we …

https://provider.healthalliance.org/informed-post/flash-health-alliance-prior-authorization-changes-for-2024/

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How do I check the status of my prior authorization - Health …

(6 days ago) WEBHow do I check the status of my prior authorization and claim request? Log into your member account on Hally.com or the MyChart mobile app. Once logged in, you …

https://help.healthalliance.org/help/how-do-i-check-the-status-of-my-prior-authorization-and-claim-request

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FLASH: Important Information About Prior Authorizations

(5 days ago) WEBWhen you go to the Prior Auth Routing page within Epic Tapestry Link and put in a CPT/HCPCS code to check on the need for prior authorization, you’ll see a …

https://provider.healthalliance.org/informed-post/flash-important-information-about-prior-authorizations/

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Health Alliance Prior Authorization Updates - Providers

(6 days ago) WEBThe following procedure codes will require prior authorization through eviCore starting November 1, 2021. G0327 Colorectal cancer screening; blood-based …

https://provider.healthalliance.org/informed-post/flash-evicore-enhancement-resource-training-and-prior-authorization-updates/

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FLASH: July 1, 2021 Prior Authorization and Coding Updates

(7 days ago) WEBHealth Alliance is committed to continuous improvement. As a result, a team of Medical Directors and coding experts review all medical policies on an annual …

https://provider.healthalliance.org/informed-post/flash-july-1-2021-prior-authorization-and-coding-updates/

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Pharmacy Programs - Health Alliance

(2 days ago) WEBPrior Authorization. We encourage providers to submit forms and chart documentation via the Health Alliance™ Provider Portal. This results in more reliable communication and …

https://portal.healthalliance.org/pharmacy

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(List of Covered Drugs) - Health Alliance

(7 days ago) WEBHealth Alliance Medicare . 2024 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS …

https://portal.healthalliance.org/documents/formulary/668

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Referrals and prior authorizations Michigan Health Insurance - HAP

(7 days ago) WEBReferrals and prior authorizations Referrals and prior authorizations. Appeals Appeals. Prior authorization list; Example: Alliance Health and Life Insurance Company …

https://www.hap.org/individual/member-resources/referrals

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Horizon Advantage Direct Access - eHealth

(6 days ago) WEBPrior Authorization Some services/procedures require prior authorization. For a complete list, call our Customer Service department at 1-800-355-BLUE (2583) or refer …

https://www.ehealthinsurance.com/ehealthinsurance/benefits/sbg/NJ/NJHorizon_ADV_DA_100_80_60.pdf

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Authorizations - CHOC Health Alliance

(6 days ago) WEBPrior authorization. Services that require prior approval by CHA before those services are rendered. If approved, the authorization stays active for a specified date range and …

https://chochealthalliance.com/providers/authorizations/

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Provider Resource Center Cascade Health Alliance

(7 days ago) WEBCascade Health Alliance has established policies and procedures that govern the effectiveness of our programs. These policies establish points of contact and …

https://www.cascadehealthalliance.com/for-providers/provider-resource-center/

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBTo confirm Horizon NJ Health’s receipt of a Prior Authorization request, precertification must be BEHAVIORAL HEALTH PRIOR AUTHORIZATIONS Medicaid and DDD 1 …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Provider Portal and Authorizations – South Country Health Alliance

(4 days ago) WEBUse the Provider Portal for claim dates of service starting January 1, 2019. For dates of service prior to January 1, 2019, or any other issues or questions when using our …

https://mnscha.org/providers/provider-portal-and-authorizations/

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Horizon Blue Cross Blue Shield of New Jersey - MyPrime

(Just Now) WEBHorizon BCBSNJ – Director, Regulatory Compliance Three Penn Plaza East, PP-16C Newark, NJ 07105 Phone: 1-800-658-6781 Fax: 1-973-466-7759 Email: …

https://www.myprime.com/content/dam/prime/memberportal/forms/2019/FullyQualified/Other/ALL/HBCBSNJ/COMMERCIAL/ALL/NJ_Specialty_Drug_List.pdf

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Introducing Braven Health℠: A New Way to Health for Medicare …

(8 days ago) WEB(Newark and Hackensack, NJ, August/September 14, 2020) --In a continuing effort to advance healthcare innovation in New Jersey, three of the state’s …

https://www.horizonhealthnews.com/introducing-braven-healthsm-a-new-way-to-health-for-medicare-eligible-new-jerseyans/

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