60 Search results for "authorization"

1. Outpatient Radiology Claims with PA from MedSolutions: Process and Reprocessing

   • Jul 17, 2014
   • Category: Provider Announcements 2013-2014

   ... ions Intake line (1-888-693-3211), and update any authorization where the services rendered were dif...
   

2. Medicaid and Health Choice Preferred Drug List Changes

   • May 21, 2014
   • Category: 2013-2016 Pharmacy Announcements

   ... highlights of some of the changes: - The prior authorization criteria was removed from the second...
   

3. Reminder - NCTracks to End Paper Checks on April 1

   • Mar 28, 2014
   • Category: Provider Announcements 2013-2014

   ... end a claim if an Electronic Funds Transfer (EFT) authorization is not on file for the provider. Thi...
   

4. Update - NCTracks to End Paper Checks on April 1

   • Mar 18, 2014
   • Category: Provider Announcements 2013-2014

   ... end a claim if an Electronic Funds Transfer (EFT) authorization is not on file for the provider. Thi...
   

5. Clarification on Long Term Care Prior Approval Requests

   • Dec 2, 2013
   • Category: NCTracks Prior Approval Announcements

   ... L2 Form (DMA372-124) - Physician’s Signature for Authorization of Level of Care (DMA-0100) Both ...
   

6. Approved EPSDT Pharmacy Request

   • Aug 30, 2013
   • Category: 2013-2016 Pharmacy Announcements

   ... ve the ability to enter EPSDT requests as a prior authorization, so that such the claim can be bille...
   

7. Med Solutions and Prior Authorization Status

   • Jul 3, 2013
   • Category: Provider Announcements 2013-2014

   ... 1 PM, 07/03/2013 All faxed requests for prior authorization have been processed. Requests submit...
   Med Solutions and Prior Authorization Status
   

8. Provider Announcements - 2016

   • Jan 25, 2011
   • Category: Provider Communication

   ... ements, North Carolina Preferred Drug List, Prior Authorization for Brand Name Statins and Zetia
   ... is listed as Lifetime. The device requires Prior Authorization. Once prior authorization has been g...
   ... ge in Processing of Accounts Receivable - Prior Authorization for Outpatient Specialized Therapies...
   ... Therapy claims will deny when the required prior authorization (PA) has been denied or has expired,...
   ... ATIENT SPECIALIZED THERAPY SERVICES REQUIRE PRIOR AUTHORIZATION. In these cases, the benefit health ...
   ... tient Specialized Therapy Claim Denials for Prior Authorization - Pharmacy Reimbursement Methodolo...
   ... claim for Medicare do not require Medicaid prior authorization (PA). A previously identified issue ...
   ... nt of Mid-Level Providers - Procedures for Prior Authorization of Synagis for Respiratory Syncytial...
   Carolina ACCESS Payment Authorization
   ... ovider Service Location - Carolina ACCESS Payment Authorization - Durable Medical Equipment Update ...
   ... variety of topics, including: - CCNC/CA Payment Authorization - Clarification - OPR and National P...
   

9. Provider Announcements - 2015

   • Jan 25, 2011
   • Category: Provider Communication

   ... ements, North Carolina Preferred Drug List, Prior Authorization for Brand Name Statins and Zetia
   ... ions Intake line (1-888-693-3211), and update any authorization where the services rendered were dif...
   ... requesting and billing providers’ enrollment and authorization to bill and be paid for specific pro...
   ... ity Care of NC/Carolina ACCESS (CCNC/CA) Referral Authorization from the member’s CCNC/CA Primary Ca...
   ... r 17, 2014, which were identified as having valid authorizations in the MedSolutions system. We have...
   ... ders - Additional Reminders on CCNC/CA Referral Authorizations and Overrides - Reminder That Pro...
   ... rd Documentation and Retention - Pharmacy Prior Authorization and Claim Inquiries - Clinical Cov...
   ... lly Severe or Morbid Obesity - CCNC/CA Referral Authorization Expectations The Medicaid Bulleti...
   ... ity Care of NC/Carolina ACCESS (CCNC/CA) Referral Authorization from the member's CCNC/CA Primary Ca...
   

10. Secondary Claims Announcements

    • Jan 25, 2011
    • Category: Secondary Claims

    ... ements, North Carolina Preferred Drug List, Prior Authorization for Brand Name Statins and Zetia
    ... ims denying in error for lack of an eviCore prior authorization when retroactive changes have been m...
    ... ims denying in error for lack of an eviCore prior authorization when retroactive changes have been m...