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Home Providers Univera Healthcare

WebFind answers to your questions. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. The information you're accessing may not be provided …

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Medical Policies Providers Univera Healthcare

WebFor certain member contracts, the Health Plan has delegated utilization management of the following services to eviCore Healthcare MSI, LLC d/b/a eviCore Healthcare: implantable …

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Credentialing Policies Providers Univera Healthcare

WebReview our searchable list of Credentialing Policies. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com.

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Authorization Lookup Tools Providers Univera Healthcare

WebUse the tool below to determine whether or not authorization is required for members based on their specific plan or based on the line of business. This lookup tool for medical …

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Contact Us Providers Univera Healthcare

WebDonna Gawel (716) 946-8045 [email protected] . COVERAGE AREA (Medical & Dental): Olean, Wellsville. SPECIALTY PROVIDERS: Ambulatory Surgery …

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Tips for Completing the CMS-1500 Claim Form

WebDetails on how to complete the form are outlined on the following pages. Follow these tips to help ensure proper scanning and timely processing: Enter the data within the boundaries …

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Frequently Asked Questions Providers Univera Healthcare

WebMedical Providers. Call Customer Care at 1-866-265-5983 and press #2 for Eligibility and Benefits.. Dental Providers. Refer to the notification letter sent from the Health Plan. If …

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Join Our Network Providers Univera Healthcare

WebRefer to our Practitioner List. Step 2. Include all required documents along with your application. A checklist is located within the application. Step 3. Email the application and …

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Medical Provider Registration Providers Univera …

WebHospital, Group Practice or Facility. If you are a provider or administrator who is part of a single or multi-specialty group practice, hospital or health care facility that provides …

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Provider Registration Providers Univera Healthcare

WebRegister for secure access to our site as either a Medical or Dental provider.

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IMPORTANT INSTRUCTIONS FOR COMPLETING THIS FORM

WebRev. 07/2021 NY-PAF-1086 *1086* 202 Pain Management 101 Physical Therapy. 147 Prosthetics 701 Speech Therapy. 411 Surgical Procedures 310 Vision (Purchase Price)

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Medication/Medical and Dispensing Information

WebUnivera Healthcare Safety Net MSD: Phone # 1 (800) 499-1275 SafetyNet MSD: Fax # 1 (800) 306-0188 Medical Specialty Drug Unit Information on this form is protected health …

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Application for Non-Physician Health Care Practitioner

WebApplication for Non-Physician Health Care Practitioner. This application is only used for participation with Univera Healthcare. Copies of your licenses, malpractice (liability) …

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Univera Healthcare Dental Guidebook

WebUnivera Healthcare, headquartered in Buffalo, NY, is part of a $6 billion family of companies that finances and delivers health care services across upstate New York and long-term …

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UN-3353 Practitioner Demographic Changes Form

WebThis demographic change form is only used for participation with the Univera Healthcare. Complete and return with the W-9 and malpractice (liability) insurance by email, mail or …

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Provider Request for Grievance or Appeal

WebProvider Request for Grievance or Appeal For Commercial products ONLY Please mail this form and medical records/supporting documentation to: Univera Healthcare Advocate …

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December 1, 2023 Standard Prior Authorization (PA) List …

WebIMPORTANT This list represents those services that require preauthorization with a clinical medical necessity review. It is NOT inclusive of all insurance products and …

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UN-3351 Application for Practitioner Enrollment

WebNo UN-3351 (01/24) Application for Practitioner Enrollment. This application is only used for participation with Univera Healthcare. Copies of your licenses, malpractice (Liability) …

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IMPORTANT INSTRUCTIONS FOR COMPLETING THIS FORM

WebPlease read these instructions carefully before completing this form. Thank you! For each authorization request, please print a new form directly from our website. Do not make …

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