Amerihealth Utilization Management

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Medical utilization management AmeriHealth Administrators

(1 days ago) WEBMedical utilization management AmeriHealth Administrators uses various policies and criteria, including AmeriHealth medical policy and InterQual ® , for utilization review …

https://www.amerihealth.com/tpa/resources/for-providers/medical-utilization-management.html

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Provider Manual: Appeals section - amerihealth.com

(8 days ago) WEBAmeriHealth New Jersey utilization management coverage decision. The utilization management appeals process provides the Member the opportunity to discuss the …

https://www.amerihealth.com/pdfs/providers/provider_manual/pm_appeals_ahnj.pdf

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Prior Authorization - AmeriHealth Caritas Pennsylvania

(7 days ago) WEBPrior authorization is required for members over age 21. Prior authorization is required when the request is in excess of $500/month for members under age 21. Diapers/Pull …

https://www.amerihealthcaritaspa.com/provider/prior-auth/index.aspx

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Behavioral Health Utilization Management Guide - Providers

(7 days ago) WEBContact the Behavioral Health Utilization Management (BH UM) department at 1-833-900-2262 for further clarifcation. BH UM will authorize length of services based on medical …

https://www.amerihealthcaritasnc.com/assets/pdf/provider/behavioral-health-um-guide.pdf

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Utilization Management Guide - AmeriHealth Caritas Louisiana

(5 days ago) WEBProviders must notify the AmeriHealth Caritas Louisiana Behavioral Health Utilization Management (BH UM) department of a member’s SUD detox . service and/or a crisis …

https://www.amerihealthcaritasla.com/pdf/provider/bh-utilization-management-guide.pdf

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Clinical Services Utilization Management

(2 days ago) WEBUtilization Management Provider Manual (PA) 6 May 2023 6.4 Members may not be penalized when required selective medical review is not obtained by the Provider. …

https://provcomm.amerihealth.com/pnc-ah/Manuals/Provider_PA/AH_PA_Provider_06_Clinical-Services-UM.pdf

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Utilization Management by CareCore National, LLC d/b/a eviCore

(2 days ago) WEBAmeriHealth has delegated utilization management of genetic/genomic testing and certain molecular analyses and cytogenetic tests to CareCore National, LLC d/b/a …

https://medpolicy.amerihealth.com/ah/ma/Pages/UM_CareCore.aspx

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Contact us - AmeriHealth Caritas District of Columbia

(5 days ago) WEBAmeriHealth Caritas District of Columbia, your benefits or how to join: Medicaid Enrollee Services 202-408-4720 or 1-800-408-7511 Utilization Management: 1-888-605 …

https://www.amerihealthcaritasdc.com/contact/index.aspx

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AmeriHealth Caritas North Carolina Inc.

(3 days ago) WEBACNC Utilization Management Program is designed to uphold and mirror AmeriHealth Caritas Family of Company corporate values while administering contracted benefits and …

https://www.amerihealthcaritasnc.com/assets/pdf/provider/utilization-management-program-description.pdf

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Making the case for cost-effective networks: 32BJ Health Fund

(1 days ago) WEBAvailable for download at catalyze.org For distribution contact [email protected] 3 High health care costs in the Big Apple In 2017, New Yorkers with employer-sponsored …

https://www.catalyze.org/wp-content/uploads/woocommerce_uploads/2020/09/32BJ_Cost-Effective-Network-Case-Study_Published-coxscb.pdf

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IHC Contact sheet - Martinins

(4 days ago) WEBSM. Contact sheet (IHC) BILLING EPO/POS+ AmeriHealth Insurance Company of NJ PO BOX 826317 Philadelphia, PA 19182-6317 HMO/HMO+ AmeriHealth HMO Inc. PO …

https://martinins.com/library/amerihealth/individual/IHC_Contact_sheet.pdf

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AmeriHealth Therapists in Union City, NJ - Psychology Today

(1 days ago) WEBFind AmeriHealth Therapists, Psychologists and AmeriHealth Counseling in Union City, Hudson County, New Jersey, Anger Management, Couples Therapy, Grief …

https://www.psychologytoday.com/us/therapists/amerihealth/nj/union-city

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