Aspire Health Plan Medical Authorization

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Understanding referrals and prior authorization

(8 days ago) People also askDoes aspire health comply with the provider manual requirements?Providers who care for members in one of our managed care commercial plans must abide by their provider manual requirements. Aspire Health complies with all the claims payment requirements set forth in the Knox-Keene Health Care Service Plan Act of 1975.Commercial Provider - Aspire Healthaspirehealth.orgHow do I contact aspire health plan?If you are unable to find the information you need on this page, please call Member Services at (831) 574-4938 or (855) 570-1600 for questions about eligibility and benefits or call Aspire’s Provider Services Team at (831) 657-0700, or email us at [email protected] Care Providers - Aspire Health Plan - Aspire Health Planaspirehealthplan.orgWhat is the Aspire health plan policy?This policy describes the identification, investigation, appeal and overpayment recovery process the Plan follows. Hours Monterey County has a community of world-class physicians and ancillary providers who care deeply about the community we serve, and well-being of Aspire Health Plan members.Health Care Providers - Aspire Health Plan - Aspire Health Planaspirehealthplan.orgDoes aspire accept Medicare?Aspire partners with all four hospitals and more than 700 doctors and other providers in Monterey County. Our network of primary care physicians and specialists accepts our Medicare Advantage plans. If your doctor is among the list of providers, you may continue to see him or her.Home - Aspire Health Planaspirehealthplan.orgWhat is aspire health plan's prescription drug formulary?Aspire Health Plan’s prescription drug formulary or “Drug list” is a list of prescription drugs covered by the plan. The drugs on this list are selected by the plan with the help of doctors and pharmacists. The list includes both brand name and generic drugs. To search for a specific pharmacy, view our Interactive Online Pharmacy Directory.Prescription Drug Coverage - Aspire Health Planaspirehealthplan.orgWhat is aspire Health's Medicare Advantage plan?Our mission is to improve the health of all by bringing together people, providers, payers, and community partners to promote wellness and deliver the best possible care. Aspire Health’s Medicare Advantage plan is a nonprofit health plan created by Monterey County physicians and top-rated hospitals who understand the community and its health.About Aspire Healthaspirehealth.orgFeedbackAspire Health Planhttps://www.aspirehealthplan.org/providersHealth Care Providers - Aspire Health Plan - Aspire Health …WEBAspire Health Plan. P.O. Box 5490. Salem, OR 97304. For paper claim submission assistance, please call (855) 570-1600. Medicare Providers Serving People with Both Medicare and Medi-Cal. This toolkit is designed to give providers like you information about Medi-Cal managed care changes, for your patients with both Medicare and Medi …

https://www.aspirehealthplan.org/understanding-referrals-and-prior-authorization/#:~:text=The%20prior%20authorization%20process%20gives%20Aspire%20a%20chance,and%20any%20prior%20authorization%20requirements%20that%20may%20apply.

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Understanding referrals and prior authorization

(1 days ago) WEBMedical services requested by your PCP or specialist may require prior authorization from the plan. Prior authorization is a decision by the health plan that a healthcare service, treatment plan, prescription drug, or durable medical equipment is medically necessary and would otherwise be covered by Medicare. Prior authorization …

https://www.aspirehealthplan.org/understanding-referrals-and-prior-authorization/

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Commercial Provider - Aspire Health

(9 days ago) WEBShould a declared state of emergency or health emergency arise, Aspire will activate its Disaster Relief Plan. Disaster Relief Plan; Health Care Coverage During a State of Emergency; Medical Authorizations (831) 657-1600 (831) 657-2669 Fax Authorization Request Form Submit authorization requests electronically at: …

https://www.aspirehealth.org/commercial-provider/

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Contact Us - Aspire Health

(7 days ago) WEBAspire Health. 10 Ragsdale Drive Monterey, CA 93940. Call. Medicare Advantage Plan (855) 570-1600 (855) 570-1600. Population Health (831) 644-7450 (831) 644-7450. Healthcare Administrative Services Follow Aspire Health Plan: Other providers are available in our network. Multi_Web_AHLP_0822_C

https://www.aspirehealth.org/contact/

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Aspire Health Aspire Health Advantage (HMO) California …

(8 days ago) WEBMental health services. Inpatient hospital - psychiatric. $250 per day for days 1 through 6 / $0 per day for days 7 through 90. Outpatient group therapy visit with a psychiatrist. $15 copay

https://health.usnews.com/medicare/california/aspire-health-aspire-health-advantage-hmo--1-0-H8764

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PATIENT HISTORY & CONSENT

(Just Now) WEBAuthorization for Medical Treatment – Outpatient 1. CONSENT FOR MEDICAL PROCEDURES AND TREATMENT: Permission is hereby granted to Aspire Hospital Outpatient Services for such medical procedures, including the taking of photographs and/or videos for treatment only, as may be deemed necessary by my physician and/or …

https://www.aspirehealthcorp.com/wp-content/uploads/2022/05/US-Patient-Forms.pdf

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Aspire Health Plan Earns Four Stars from CMS for - Montage …

(2 days ago) WEBAspire Health Plan, a community-centered, not-for-profit organization backed by Montage Health and Salinas Valley Memorial Healthcare System (SVMHS), has earned a four-star rating from the Centers for Medicare and Medicaid Services (CMS) for its 2022 Medicare Advantage. Every year, CMS evaluates Medicare Advantage plans …

https://www.montagehealth.org/news-publications/articles-press-releases/2021/aspire-health-plan-earns-four-stars-from-cms/

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About Aspire Health

(9 days ago) WEBEstablished in 1961, Coastal—a subsidiary of Aspire Health—specializes in self-insured (self-funded) employer groups and delivers affordable, tailored healthcare benefit solutions, including: Expert third-party claims administration. Access to regional PPO options. State and national provider panels. Coastal continues to empower employers

https://www.aspirehealth.org/about-aspire-health/

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Blue Shield of California, Aspire Health Team up to Offer Low-Cost

(Just Now) WEBMONTEREY, Calif. (October 24, 2022) – Blue Shield of California and Aspire Health today announced a new health maintenance organization (HMO) benefits plan for Monterey County residents that provides access to comprehensive and cost-saving care through better coordination and communication among the health plan, doctors, and hospitals.. …

https://news.blueshieldca.com/2022/10/24/blue-shield-of-california-aspire-health-team-up-to-offer-low-cost-high-quality-benefits-plan-throughout-monterey-county

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MEDICAL PRIOR AUTHORIZATION LIST - aspirus.org

(7 days ago) WEBMEDICAL PRIOR AUTHORIZATION LIST. Effective 03/26/2021. The following is a list of medical/surgical services which require prior authorization for contracted providers. The Plan has made every effort to ensure this list is comprehensive. The fact that a particular service is not included on the list does not mean that such service is otherwise

https://www.aspirus.org/Uploads/Public/Documents/Integration/Aspirus-Health-Plan-Medical-Prior-Authorization-List.pdf

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Resources and tools for providers and health care professionals

(8 days ago) WEBWelcome health care professionals. We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans.

https://www.uhcprovider.com/

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Contact Medicare Medicare

(Just Now) WEBPhone. 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.. If you want Medicare to be able to give your personal information to someone other than you, you need to fill out an "Authorization to …

https://www.medicare.gov/about-us/contact-medicare

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Aspire Health Harvard Pilgrim Health Care

(1 days ago) WEBIf you’re eligible, you will be invited to participate in this voluntary program through a referral to Aspire by a Harvard Pilgrim care manager, a primary care provider (PCP) or a specialist, or based on claims history. To arrange services, call …

https://www.harvardpilgrim.org/public/aspire-health

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Authorizations Aspirus Health Plan - UCare

(3 days ago) WEBFind medical injectable drug prior authorization information for Aspirus Health Plan Medicare Advantage plans and forms to request authorizations on our Pharmacy page. Direct all authorization requests to Aspirus Health Plan’s delegate, Express Scripts, 1-877-558-7521 or by fax at 1-877-251-5896.

https://medicare.aspirushealthplan.com/providers/authorizations

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Authorization to Use and Disclose Health Information

(Just Now) WEBThe third party may not be required to abide by this Authorization or applicable federal and state law governing the use and disclosure of my health information. understand that I may at any time make a written request to RWJUH to inspect and/or obtain a copy of my health information, and that RWJUH will within thirty (30) days of receiving

https://www.rwjbh.org/documents/rwj-new-brunswick/01-1890-Authorization-Form-English-1.pdf

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Chiropractic & Physical Medicine Services Program Frequently …

(6 days ago) WEBMouse over Eligibility & Benefits and select Eligibility & Benefits Inquiry. If you do not have access to NaviNet, you may obtain member benefit information by calling Physician Services at 1-800-624-1110, Monday through Friday, from 8 …

https://www.horizonblue.com/sites/default/files/2019-07/ASH_External_FAQ.pdf

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