59 Search results for " authorization"
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September 2016 Medicaid Bulletin Available
- Sep 2, 2016
- Category: Provider Announcements - 2016
... ent of Mid-Level Providers - Procedures for Prior Authorization of Synagis for Respiratory Syncytia...
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Latest Medicaid Pharmacy Newsletter Available
- Aug 31, 2016
- Category: 2013-2016 Pharmacy Announcements
... f Ulesfia Lotion Terminated - Procedures for Prior Authorization of Synagis for Respiratory Syncytia...
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Bypass for PA Edit When Medicare is Primary Payor
- Aug 11, 2016
- Category: Provider Announcements - 2016
... e claim for Medicare do not require Medicaid prior authorization (PA). A previously identified issue...
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July 2016 Medicaid Bulletin Available
- Jul 5, 2016
- Category: Provider Announcements - 2016
... atient Specialized Therapy Claim Denials for Prior Authorization - Pharmacy Reimbursement Methodol...
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Claim Issue for Outpatient Specialized Therapy Services
- May 24, 2016
- Category: Provider Announcements - 2016
... PATIENT SPECIALIZED THERAPY SERVICES REQUIRE PRIOR AUTHORIZATION. In these cases, the benefit health...
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Update on Outpatient Specialized Therapy Claims and PA
- Apr 29, 2016
- Category: Provider Announcements - 2016
... d Therapy claims will deny when the required prior authorization (PA) has been denied or has expired...
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Reminder - TPL bypass for High Tech Imaging (eviCore) Claims
- Apr 22, 2016
- Category: Secondary Claims Announcements
... aims denying in error for lack of an eviCore prior authorization when retroactive changes have been ...
... licy 1K-7 for the list of codes that require prior authorization for high tech imaging. * I... -
April 2016 Medicaid Bulletin Available
- Apr 4, 2016
- Category: Provider Announcements - 2016
... nge in Processing of Accounts Receivable - Prior Authorization for Outpatient Specialized Therapie...
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New DME Edit for HCPCS code E0483
- Jan 29, 2016
- Category: Provider Announcements - 2016
... " is listed as Lifetime. The device requires Prior Authorization. Once prior authorization has been ...
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TPL bypass for High Tech Imaging (eviCore) Claims
- Jan 29, 2016
- Category: Secondary Claims Announcements
... aims denying in error for lack of an eviCore prior authorization when retroactive changes have been ...
... licy 1K-7 for the list of codes that require prior authorization for high tech imaging. * I...