Lucent Health Precertification Requirements

Listing Websites about Lucent Health Precertification Requirements

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Pre-Certification/Utilization Management - Lucent Health

(6 days ago) WEB888-585-3309. Monday-Friday from 7 a.m. to 7 p.m. CT. Ask Concierge. Pre-Certification & Utilization Management - Streamlined healthcare approvals for cost-effective outcomes. Explore Lucent Health's solutions. Learn more today.

https://lucenthealth.com/pre-certification-utilization-management/

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Member FAQ - Lucent Health

(6 days ago) WEBNarus Health will check for medical necessity and advise the provider if the requested service is authorized by the plan. PLEASE NOTE: Narus Health recommends the …

https://lucenthealth.com/member-faq/

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Lucent Health - Lucent Health

(5 days ago) WEBLucent + Narus = Exceptional Care Management. Lucent Health’s 2019 acquisition of Narus Health, known for its best-in-class care management and concierge solutions, …

https://lucenthealth.com/

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DRAFT Trans-System OE Guide

(9 days ago) WEBprecertification process 5-7 days prior to the scheduled service date. Providers should call Lucent Health to confirm your eligibility and benefits at 877-214-2129. 9. How do I know …

https://trans-system.mybenefitsapp.com/wp-content/uploads/sites/2385/2021/10/Lucent-Health-FAQs.pdf

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Lucent Health Online Quick Reference Guide

(3 days ago) WEB• Contact Lucent Health • View your ID Card • Document Library • More To access your Adult Dependent Healthcare Coverage and Claims detail, you will need to …

http://www.vanfiretrust.org/uploads/4/9/6/3/49633983/lucent_online_-_welcome_flyer_revised_10-29-20.pdf

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Lucent Provider Portal

(1 days ago) WEBWelcome to the Provider Portal, a unique online tool for accessing benefit, eligibility and claims data. Log in to: View patient's eligibility status and benefit information

https://mylucenthealth.com/lucentprovider

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Midlands Choice > For Healthcare Providers > Payer Resources

(3 days ago) WEBTo determine whether patients' healthcare plans cover specific services, what their co-pays are, or to obtain details about precertification requirements, contact payers who …

https://www.midlandschoice.com/Healthcare-Providers/Claims/Eligibility-and-Benefits

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Process Guidance Lucet

(1 days ago) WEBCopy of your Professional License. Copy of your Certificate of Insurance. Copy of your current W-9. Copy of your current resume. CAQH status of ‘Initial Profile Completed’ or …

https://lucethealth.com/providers/resources/process-guidance/

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Aetna Signature Administrators solution

(4 days ago) WEBWith the Aetna Signature Administrators solution, we can extend our services to more plan sponsors with preferred provider organization (PPO) plans. We’ve established …

https://www.aetna.com/document-library/healthcare-professionals/documents-forms/aetna-signature-administrators.pdf

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What procedures/services require precertification? - Lucent Health

(7 days ago) WEBAnthem performs precertification (800-274-7767). PLEASE NOTE: We recommended the provider starts the precertification process 5-7 days prior to the schedule service date. …

https://lucenthealth.com/faq-items/what-procedures-services-require-precertification-2/

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Medical Necessity Criteria - Lucet

(6 days ago) WEBAn internal Lucet committee of behavioral health practitioners and psychiatrists developed the Medical Necessity Criteria (“Criteria” or “MNC”) contained in this document. A panel …

https://lucethealth.com/wp-content/uploads/2023/01/2022-Medical-Necessity-Criteria.pdf

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Precertification Lists - Aetna

(2 days ago) WEBParticipating providers are required to pursue precertification for procedures and services on the lists below. 2024 Participating Provider Precertification List – …

https://www.aetna.com/health-care-professionals/precertification/precertification-lists.html

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBFor questions about Behavioral Health claim submissions, please call 1-800-682-9091. PRIOR AUTHORIZATION To confirm Horizon NJ Health’s receipt of a Prior …

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

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Prior Authorizations & Precertifications Cigna Healthcare

(3 days ago) WEBDepending on a patient's plan, you may be required to request a prior authorization or precertification for any number of prescriptions or services. A full list of CPT codes are …

https://www.cigna.com/health-care-providers/coverage-and-claims/prior-authorization

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Lucet Providers Behavioral Health Services and Solutions

(8 days ago) WEBLucet Health (Lucet) utilizes medical necessity criteria to make medical necessity determinations. The medical necessity criteria set applied varies according to the …

https://lucethealth.com/providers/resources/mnc/

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Prior Authorization - Aetna Better Health

(4 days ago) WEBIf you have questions about what is covered, consult your Provider Manual or call 1-855-456-9126. Remember, prior authorization is not a guarantee of payment. Unauthorized …

https://www.aetnabetterhealth.com/ny/providers/information/prior

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Diagnostic Imaging - NJ Health Insurance & Healthcare Provider

(7 days ago) WEBAll 78000 nuclear medicine studies are included in this section, please consult your Provider Manual to determine which nuclear studies require prior …

https://www.horizonblue.com/sites/default/files/2018-02/Diagnostic_Imaging_Privileging_Policy.pdf

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Denials Manager: Medical Records and Compliance - LinkedIn

(7 days ago) WEBTenafly Eye Associates. Sep 2015 - Oct 2020 5 years 2 months. Tenafly, New Jersey. Handle insurance charge reports. Generate deposit slips of copayments, insurance …

https://www.linkedin.com/in/alan-jean-a0816b145

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