. Intake form. Terms of Use | Report concerns to the BCBSIL Special Investigations Department (SID) Fraud website 1 . Please click here to register for an account. Provider Authorization - MetroPlusHealth endstream What types of radiology procedures require prior authorization? Electronic Data Interchange (EDI) Email: EDI@premera.com Please click here to register for an account. As a valued user of our website, wed appreciate your feedback to help us improve your website experience. What claims are subject to claims review? For inpatient hospital stays, your doctor will get prior authorization from HAP. CareCore National Web Portal ", Chief of Radiology & SVP of Medical Affairs. Contact Us | UHCprovider.com Ethics & Compliance | First, our innovative SmartChoiceprogram serves as a patient-outreach service to educate health plan members on available options for their diagnostic imaging procedure locations. In practice, utilization management plays a large role in patient safety and empowerment. Member Rights Policy | Note: Checking eligibility and benefits is key, butwe also have other resources to help you prepare. BCBSAZ-TPA co-administered plans (prefixes K8Y, K8Z, and NBT) . IMPORTANT: In the coming days, we will be migrating systems for our Contact Us - MVP Health Care PDF evicore Post Acute FAQs - Johns Hopkins Medicine As a valued user of our website, wed appreciate your feedback to help us improve your website experience. Forgot Password? What is included in the Cardiovascular solution? Musculoskeletal (eviCore): 800-540-2406 Telephone: For inquiries that cannot be handled via NaviNet, call the appropriate Clinical Services number, which can be found here. The terms of the members plan control the available benefits. What services are managed through the Musculoskeletal Pain Management Program? Information for Blue Cross and Blue Shield of Illinois (BCBSIL) members is found onour member site. The list indicates which CPT codes require preauthorization based on site of service and diagnosis codes. If you do not remember your password, please click "Retrieve Password" below. Learn more about the life-interrupting issue of back pain, and the long-term benefits of saving surgery for a last resort. Where are Musculoskeletal Program guidelines and how are they accessed? PDF Subject: Sign- up for eviCore Healthcare's Training for new Prior Availity Essentials, Essentials Plus, or EDI Clearinghouse Customers: If you have an Availity Essentials, Essentials Plus, or EDI Clearinghouse account and cannot log in to submit a ticket, call 1-800-282-4548 for support. Annual Utilization Statistics | eviCore.com. The site may also contain non-Medicare related information. How does my doctor access the Specialty Drug Management solution? Our host Emily Coe, PhD, speaks with Alegis Care social worker Katie Sherman, MSW, LCSW, to learn more about home health, social determinants of health, access to care, and more. If you are a Highmark network provider and have not signed up for NaviNet, learn how to do sohere. How did you get my phone number/information? Listen to the new Auth the Cuff podcast for more information.