WebHighmark Advanced Imaging and Cardiology Services Program Prior Authorization Quick Reference Guide Authorization Required . All outpatient, non-emergent, elective … WebTHIS REQUEST FOR AUTHORIZATION REVIEW CANNOT BE PROCESSED WITHOUT SUPPORTING CLINICAL DOCUMENTATION AND/ OR INFORMATION – NO EXCEPTIONS. Requests missing clinical information will be returned to the requesting provider, delaying the review process. Please fax completed form to Clinical Services: 888.236.6321 …
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WebPennsylvania. Highmark Inc. or certain of its affiliated Blue companies also serve Blue Cross Blue Shield members in 29 counties in western Pennsylvania, 13 counties in northeastern Pennsylvania, the state of West Virginia plus Washington County, Ohieo, th state of Delaware and 8 counties in western New York. All references to Highmark in this ... WebNov 21, 2024 · eviCore will manage the prior authorizations for advanced imaging and cardiology services for Highmark's fully insured Commercial, Medicare Advantage, and Affordable Care Act (ACA) members, plus members of select self-insured (Administrative Services Only) groups. philosophy meaning simple
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WebJul 1, 2024 · Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue Shield Plans. 6 … WebHighmark: Comprehensive Cardiology and Radiology CPT Code List. Codes with asterisk(*) indicate new procedures requiring prior authorization through eviCore healthcare effective January 1, 2024. Updated: 5/15/2024 V1.2024 Effective: 1/1/2024. ... angiography, imaging supervision and interpretation; with right and left heart catheterization ... WebHealth Services. HealthCare Management Services or Highmark Blue Shield Behavioral Health Services evaluates whether the particular service or admission meets Highmark Blue Shield’s criteria for medical necessity and appropriateness. When a request has been approved, an authorization number is provided. How authorizations and pre ... philosophy matters