Gateway Health Plan Authorization

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RADMD Highmark Wholecare (Gateway Health and Gateway …

(5 days ago) WEBWelcome to the Highmark Wholecare (Gateway Health and Gateway Health Medicare Assured) page. The documents below have been designed to help RadMD users …

https://www1.radmd.com/all-health-plans/highmark-wholecare-gateway-health-gateway-health-medicare-assured

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Pennsylvania Medicaid and Medicare Insurance

(Just Now) WEBPennsylvania Community Roots. Highmark Wholecare calls Pennsylvania home. We know that working in our communities helps us offer whole care to our neighbors. We proudly have: More than 400,000 members. A …

https://highmark.com/wholecare

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Highmark acquires Gateway Health Plan: 5 things to know

(4 days ago) WEB2. With the Gateway acquisition, Highmark ushers in 355,000 new members. 3. "This acquisition will help us further our mission and better serve current and future …

https://www.beckerspayer.com/payer/highmark-acquires-gateway-health-plan-5-things-to-know.html

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Highmark acquires full ownership of Gateway Health

(8 days ago) WEBPITTSBURGH (September 7, 2021) — Highmark announced today it has closed on its transaction to acquire full ownership of Gateway Health Plan, Inc. (Gateway Health), a …

https://www.highmark.com/newsroom/press-releases/9-7-2021-highmark-acquires-full-ownership-of-gateway-health

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Gateway Health Medicare Health Physical Medicine Prior …

(9 days ago) WEBauthorization program, you may contact the Magellan Healthcare Provider Service Line at 1-800-327-0641. Magellan Healthcare can accept multiple requests during one phone …

https://www1.radmd.com/media/865522/gateway-health-combined-qrg-pm-09092019.pdf

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Medicare Health Insurance in PA Highmark Wholecare

(3 days ago) WEBHealth benefits or health benefit administration may be provided by or through Highmark Wholecare, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare …

https://www.highmark.com/wholecare/medicare

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Medications to Require Medical Prior Authorization

(4 days ago) WEBGateway Health Plan, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Medications to Require Medical Prior Authorization As a part …

https://content.highmarkprc.com/Files/Wholecare/updates/J_CodePriorAuthJan22Caid.pdf

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Provider Resource Center

(8 days ago) WEBHow to Use the Provider Portal Search Tool. Language Form. Lead Screening Analysis Form. MA30 - Hysterectomy English. MA30 - Hysterectomy Spanish. …

https://wholecare.highmarkprc.com/Medicaid-Resources/Forms-Reference-Materials

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I. Requirements for Prior Authorization of Stimulants and …

(7 days ago) WEBGateway Health Plan Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 . authorization for a Stimulants and Related Agent that was previously approved will take …

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=Wm3NfJep0U2ANIFDGz2K5w

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Prior Authorization Code Lookup - Highmark Health Options

(Just Now) WEBReview the Prior Authorizations section of the Provider Manual. Call Provider Services at 1-844-325-6251, Monday–Friday, 8 a.m.–5 p.m. Or contact your Provider Account Liaison.

https://www.highmarkhealthoptions.com/providers/prior-auth-lookup.html

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Provider Manual Gateway Health

(5 days ago) WEB3.9 Out-of-Plan Authorization 16 3.10 OB/GYN Treatment 16 3.11 Referrals 16 Section 4: Reimbursement and Claims . 4.1 Various Payor Plans 17 4.2 Medical Supplies 17

https://usermanual.wiki/Document/ProviderManualGatewayHealth.1090271477.pdf

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Requirements for Prior Authorization of Antipsychotics

(7 days ago) WEBGateway Health Plan Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 FOR RENEWALS OF PRIOR AUTHORIZATION FOR PREFERRED and NON-PREFERRED …

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=eChOKVmAfEuYzaa3ICYc9w

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PROVIDER QUICK TIPS #41 - Department of Human Services

(5 days ago) WEB– to request a new authorization or to change or check the status of an existing authorization for Home health, hyperbaric oxygen treatment, elective …

https://www.dhs.pa.gov/providers/Providers/Documents/c_214048.pdf

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Provider Resource Center

(5 days ago) WEBProvider Resource Center. In December 2016, the 21st Century Cures Act was enacted into law by the 114th United States Congress. Section 212006 of the Cures …

https://wholecare.highmarkprc.com/Provider-Resources/Netsmart-Electronic-Visit-Verification-EVV

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Gateway Health Plan Pharmacy Division - MMITNetwork

(7 days ago) WEBGateway Health Plan Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 I. Requirements for Prior Authorization of Hypoglycemics, Insulin and Related Agents

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=y4OpuRnDmE2oUVSqn13tHg

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBHorizon NJ Health UM Department to verify that a prior authorization has been obtained. To check status of Prior Authorization and/or changes to the Prior Authorization, go to …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) WEBan authorization for in-network providers. Any MCO-covered behavioral health service provided by an out-of-network provider will require both an authorization and a single …

https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf

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NON-PREFERRED MEDICATION PRIOR AUTHORIZATION …

(7 days ago) WEBGateway Health Plan Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 . I. Requirements for Prior Authorization of Ophthalmics, Antibiotic-Steroid Combinations. …

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=gLTlp3Koh069xCEP5Lwz4g

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Horizon Blue Cross Blue Shield of New Jersey Points of Contact

(3 days ago) WEBEligibility, authorization Peer-to-peer authorization denial review 1-866-496-6200 and select the appropriate menu option for Peer-to-Peer or eviCore.com Drug Authorizations …

https://www.horizonblue.com/sites/default/files/2017-04/2017_Navigating_Horizon_POC_Worksheet_FINAL.pdf

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