Active Health Precertification Form

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Precertification Exchange - Login

(2 days ago) WebActivate a better utilization management experience. Check Status Check status of a precertification request. Requesting NPI. Reference Number. Search. help_outline Help locate Reference Number. Log In Log in to submit or update a precertification request.

https://precertification.activehealth.com/

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Members & Providers ActiveHealth Management

(7 days ago) WebBehavioral Health Admission Notification Form Opens as PDF; Form to designate a representative Opens as PDF; Ohio. External Review Request Forms Opens as PDF; Oklahoma. Precertification Request Form for Prescription Medications Opens as PDF; Oregon. Uniform Prior Auth. Prescription Request Form Opens as PDF; South Carolina

https://www.activehealth.com/members-providers/

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Precertification Exchange - Register - ActiveHealth

(1 days ago) WebIn order to create an account with us, you must. first submit a request with us manually. To do. this please call 1 (855) 233-7390.

https://precertification.activehealth.com/Register/VerifyCode

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ActiveHealth Management

(8 days ago) WebActiveHealth may use your personal information to communicate with you about your account, our services or products, or to respond to your requests. Health education content within this website includes information provided by Healthwise Incorporated and ActiveHealth Management.

https://www.myactivehealth.com/portal/

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Homepage ActiveHealth Management

(9 days ago) WebWhole person health. At ActiveHealth, we believe in whole person health – when the body, mind and spirit are in balance. So, we treat our members like the complex beings they are. By addressing the needs of the whole …

https://www.activehealth.com/

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FACSIMILE COVER LETTER

(9 days ago) WebPlease complete the attached form and return to the sender’s fax number noted above. Thank you. Precertification Request for Prescription Medications : Fax this form to: 1-866-617-4900: For faster service, please call <MORG ADD 3>. for review if requested by the health plan sponsor or delegate, or, if applicable, a state or federal

https://www.activehealth.com/content/2022/07/Precertification-Request-Form-For-Prescription-Medications_0.pdf

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UM Precertification Exchange Portal - uatwww.activehealth.com

(6 days ago) WebRegistering for the Precertification Exchange Portal . 3 ©2021 ActiveHealth Management, Inc. Proprietary and confidential. Do not distribute. Click Here to Register. 4 ©2021 ActiveHealth Management, Inc. Proprietary and confidential. Do not distribute. Call and a …

https://uatwww.activehealth.com/content/2023/12/UM-Precertification-Exchange-Portal-Tutorial.pdf

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Referrals and Pre-Authorizations TRICARE

(3 days ago) WebA referral is when your Primary Care Manager (PCM) or provider sends you to another provider for care that they don’t provide. A pre-authorization is when your care is approved by your regional contractor before you go to your appointment. If you are being referred, your provider will get you a referral and pre-authorization at the same time.

https://tricare.mil/Authorization

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Prior Authorization and Notification UHCprovider.com

(3 days ago) WebPrior authorization information and forms for providers. Submit a new prior auth, get prescription requirements, or submit case updates for specialties. Health care professionals are sometimes required to determine if services are covered by UnitedHealthcare. Advance notification is often an important step in this process.

https://www.uhcprovider.com/en/prior-auth-advance-notification.html?rfid=UHCOContRD

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Precertification Information Request Form - Aetna

(3 days ago) WebMedicare plans: 1-800-624-0756. Precertification Information Request Form. Fax to: Precertification Department. Fax number: 1-833-596-0339. Section 1: Provide the following general information for all requests Typed responses are preferred. If the responses cannot be typed, they should be printed clearly.

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/pharmacy-insurance/healthcare-professional/documents/precert-information-request-form.pdf

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Precertification Exchange - Retrieve Username - ActiveHealth

(4 days ago) WebWelcome to the new ActiveHealth Precertification Exchange. Forgot your Username? Give us your email and we will send your username shortly. Email. Cancel. Retrieve Username. URAC module: ActiveHealth has been fully accredited by URAC in health utilization management since 1992. (Visit the URAC Website to learn more)

https://precertification.activehealth.com/Account/ForgotUsername

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Prior Authorization Magnolia Health

(9 days ago) WebSome services require prior authorization from Magnolia Health in order for reimbursement to be issued to the provider. See our Prior Authorization List, which will be posted soon, or use our Prior Authorization Prescreen tool.. Standard prior authorization requests should be submitted for medical necessity review at least five (5) business days before the …

https://www.magnoliahealthplan.com/providers/resources/prior-authorization.html

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Precertification Exchange - Login

(Just Now) WebOn ActiveHealth Utilization Management Letter On ActiveHealth Precertification Exchange Screen. Back to search. Reference Number . Precertification Request Status. Please contact us at 1(855) URAC module: ActiveHealth has been fully accredited by URAC in health utilization management since 1992. (Visit the URAC Website to learn more)

https://umportal.azuat.activehealth.com/

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Precertification Exchange - Retrieve Password

(4 days ago) WebWelcome to the new ActiveHealth Precertification Exchange. Forgot your Password? Enter in your username to reset your password. Username. Cancel. Reset Password. For 20 years, URAC module: ActiveHealth has been fully accredited by URAC in health utilization management since 1992. (Visit the URAC Website to learn more)

https://precertification.activehealth.com/Account/ForgotPassword

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PRECERTIFICATION, REFERRAL, HOSPITALIZATION REQUEST

(3 days ago) WebPlease contact our HealthCare Coordinators at 396-1303 (Medical, Dental or Vision Providers) or 396-4000 ext. 1303 and Family Island toll free 242-300-2458 for any further assistance required from Monday throug h Friday between the hours of 9am -5pm. Kindly submit all requests to fax # 396-1363 [email protected].

https://bahamahealth.com/wp-content/uploads/2019/11/BHForm-Precertification-2019-Fillable.pdf

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Precertification – Health Care Professionals Aetna

(9 days ago) WebPrecertification occurs before inpatient admissions and select ambulatory procedures and services. Precertification applies to: You can submit a precertification by electronic data interchange (EDI), through our secure provider website or by phone, using the number on the member’s ID card. Check our precertification lists.

https://www.aetna.com/health-care-professionals/precertification.html

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Forms & List Preauthorization Select Health

(7 days ago) WebPreauthorization Request Forms. Preauthorization forms must be submitted when not using CareAffiliate or PromptPA. Access the relevant request form for your practice using the table below. Utah & Idaho. All Commercial Plans, Select Health Medicare. Select Health Community Care® (Medicaid) in Utah only. Nevada.

https://selecthealth.org/providers/preauthorization/forms-and-lists

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PSHP - Outpatient Treatment Request Form

(9 days ago) WebPEACH STATE HEALTH PLAN PAGE 1 SUBMIT TO Utilization Management Department 1100 Circle 75 Parkway, Suite 1100 Atlanta, GA 30339 Phone: 1.800.704.1483 FAX: 1.844.870.5064. OUTPATIENT TREATMENT REQUEST FORM. Please print clearly – incomplete or illegible forms will delay processing. Date _____ Major

https://www.pshpgeorgia.com/content/dam/centene/peachstate/providers/PDFs/PSHP-GA-Outpatient-Treatment-Request-Form.pdf

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How to Apply for Medicaid in Georgia Peach State Health Plan

(3 days ago) WebFour ways to choose Peach State Health Plan: Online: Go to New Member Enrollment. External Link. and follow the steps. By phone: Call 1-888-GA-Enroll (1-888-423-6765). Tell them you want to choose Peach State Health Plan. On paper: Use the form you get in the mail from Georgia Families®. Choose Peach State Health Plan.

https://www.pshpgeorgia.com/members/medicaid/how-to-enroll.html

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Invest In Your Health Indiana

(5 days ago) WebExpert help to make healthy changes in exercise, diet, sleep, mindfulness, work-life balance, tobacco cessation, weight management or other areas you want to focus on. You set the priorities and the health coach provides information and suggests small changes to get you where you want to be. Call (855) 202-4219 to schedule an appointment.

https://www.investinyourhealthindiana.com/activehealth/

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