Search results with tag "Require precertification"
Services that require precertification* or authorization ...
www.aetna.com**Precertification requirements apply unless state law expressly dictates otherwise. As of January 1, 2019, the following services no longer require precertification or authorization: intensive outpatient, outpatient detoxification (ambulatory withdrawal management) and psychological or neuropsychological testing.
Services that require precertification* or authorization ...
www.aetna.com**Precertification requirements apply unless state law expressly dictates otherwise. As of January 1, 2019, the following services no longer require precertification or authorization: intensive outpatient, outpatient detoxification (ambulatory withdrawal management) and …
Services that require precertification - ibxtpa
www.ibxtpa.comServices that require precertification Standard Precert Effective: 1/1/2019 This applies to elective, nonemergency services. Some services or supplies in this list may not be covered by your benefits plan. Please check your benefit plan documents. Radiology
Radiology Procedures Requiring Precertification for ...
www.oxhp.comLarge and Small groups and New Jersey (NJ) Large groups with out-of-network benefits; and ... Services indicated as requiring a precertification require medical necessity review. This review may be requested prior to service. If a medical necessity review is not requested by the provider prior to service, the medical necessity review
Preventive Care Services - Cigna
www.cigna.com(MAY require precertification or other reasonable medical management technique or practice depending on benefit plan design) Breast Cancer Screening: women age 40 and older, with or without clinical breast exam, every 1-2 years Note: ACA utilizes the 2002 USPSTF recommendations on breast cancer screening. 77065, 77066