Transcription of Priority Partners Managed Care Organization …
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Priority Partners Managed Care Organization …
Overview To verify benefit coverage call: 1-800-654-9728 All CPT codes classified as Category III and all HCPCS codes classified as Unlisted by the American Medical Association requirepreauthorization JHHC medical policies may be helpful in supporting some preauthorization requirements for certain procedures, and can be located at: > For Providers > Policies All services rendered by non-participating providers require preauthorization Laboratory, radiology and pharmacy policies and guidelines can be found at: For additional information about Priority Partners , refer to the website at: Notification or Preauthorization RequiredThis section lists the services that do not require a referral or preauthorization For services provided by participating providers in-office (Place of Service 11), outpatient hospital (Place of Service 22), or ambulatory surgerycenters (Place of Service 24) by specialties listed below, no referral or preauthorization is required unless listed in the Referral Required and/or Preauthorization sectionsNotification RequiredThis section lists the services that require a referral from the Primary Care Physician (PCP) Fax the universal referral form for services listed below for in-office (Place of Service 11) or outpatient hospital (Place of Service 22) settings toOutpatient Intake Services at: 410-424-4603 For urgent requests (delay will seriously jeopardize the life or heal)
All CPT codes classified as Category III and all HCPCS codes classified as “Unlisted” by the American Medical Association require: preauthorization
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