WebWhat is the requested Start Date for this authorization? Enter the start date for this request using a MM/DD/YYYY format. Please Note: if the requested start date is more than 10 days in the past, your preauthorization request will not be considered timely and will be pended for a retrospective review; you will also need to submit clinical records. WebMar 16, 2024 · To help ensure that outpatient physical medicine services (physical therapy, occupational therapy and manipulation services) provided to our members are consistent with nationally recognized clinical guidelines, Highmark has contracted with WholeHealth Networks, Inc. (WHN), a subsidiary of Tivity Health Support, LLC., to administer a ...
Provider Resource Center
WebCommunity Blue Medicare PPO. 1-888-757-2946. 711. Monday-Sunday. 8:00am - 8:00pm. Not a Highmark member? Call 1-866-488-7469 TTY: 711 (Monday - Sunday 8:00am to 8:00pm EST) to talk to a representative who can answer questions about our plans. WebAuthorization for Disclosure of Health Information. (1) I hereby authorize _______________________________________________________ to. [Name of Releaser -- e.g., … the o\u0027briens 2013
Highmark Blue Cross Blue Shield Delaware (Highmark …
WebReferrals and authorizations are processes used by health plans to coordinate and evaluate the medical care needs of its members. Highmark Blue Shield also has used the term “precertification” when referring to the authorization process. WebThis process applies whether the authorization request was submitted through NaviNet® or initiated by telephone contact with Clinical Services. Behavioral health review process . When Highmark Behavioral Health Services makes the initial assessment that a member’s case does not meet the applicable medical necessity criteria, Webrequest an authorization for a service he or she will provide. 6.2.3 Services Requiring Authorization Highmark West Virginia products and FreedomBlue® require authorization for all inpatient admissions and selected outpatient services, drugs and equipment. The following services are representative of those that require authorization: shuh duh fuh cup coffee mug