Transcription of Participating Provider Precertification List
{{id}} {{{paragraph}}}
Quality health plans & benefitsHealthier livingFinancial well-beingIntelligent solutionsParticipating Provider Precertification ListEffective July 1, A (7/14)Reference general Precertification to: all Aetna plans, except Traditional Choice plans; all Innovation HealthSM , 2 1. Inpatient confinements Surgical and nonsurgical Skilled nursing facility Rehabilitation facility Inpatient hospice (except Medicare) Maternity and newborn confinements that exceed the standard length of stay (LOS)3 2. Ambulance Transportation by fixed-wing aircraft (plane) Elective (non-emergency) transportation by ground ambulance or medical van for Medicare Advantage plan members only 3. Autologous chondrocyte implantation, Carticel 4 4. Cochlear device and/or implantation4 5. Cognitive skills development4 6. Dental implants 7.
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Participating Provider Precertification List Effective July 1, 2014
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document:
{{id}} {{{paragraph}}}
Procedures, programs and drugs you, Participating provider, Aetna, UPMC Health Plan Commercial, UPMC HEALTH, UPMC Health Plan www.upmchealthplan.com, Request for Claim Review Form, Request, Review Form, Provider Enrollment Form, BlueCross BlueShield of Tennessee, Anthem BlueCross BlueShield Outpatient, Anthem BlueCross BlueShield. Outpatient Rehabilitation Management