Health Alliance Procedure Codes

Listing Websites about Health Alliance Procedure Codes

Prior Authorization & Clinical Review Criteria - Health Alliance

(5 days ago) WEBParticipating members and providers with a Health Alliance account can access InterQual® criteria with their Health Alliance you can search for a specific guideline or use codes or keywords to locate information. InterQual® criteria and any other relevant information …

https://www.healthalliance.org/clinical-review-criteria

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Health Alliance Medical Plan Code List - evicore.com

(3 days ago) WEBHealth Alliance Medical Plan Cardiology and Radiology Code List Prior Authorization Proceudre List: Cardiology & Radiology, MSK (Join, Spine, Pain, …

https://www.evicore.com/sites/default/files/resources/2024-02/HAMP_CardRad_CodeList_Eff01.01.24_pub02.29.2024.pdf

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Medical Policy & Procedure

(3 days ago) WEB1.4 Health Alliance nurses follow the Medicare Advantage - Organization Determination policy to review CPT Codes. Providers are required to indicate the diagnosis and …

https://portal.healthalliance.org/documents/medicalpolicies/523

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Medical Policy & Procedure - Health Alliance

(1 days ago) WEB1.1 Health Alliance uses InterQual DME criteria to determine the medical necessity of Wearable Providers are required to indicate the diagnosis and procedure codes …

https://portal.healthalliance.org/MedicalPolicy/GetPolicy/221

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Procedure Code Lookup (PCL) Tool - Central California Alliance for …

(4 days ago) WEBFor instructions on using the Procedure Code Lookup Tool please see this job aid. To access this information outside of the Provider Portal use the PDF file below. Click …

https://thealliance.health/for-providers/provider-portal/procedure-code-lookup-tool/

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No More Guessing – CPT Coding for “Foot Care” the Right Way

(Just Now) WEBThe active care requirement would be considered met if the claim indicates that the patient has seen an M.D. or D.O. for treatment and/or evaluation of the complicating disease …

https://www.apma.org/files/TVCS2020CPTCodingDF.pdf

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Billing for Services - Health Alliance

(5 days ago) WEBHealth Alliance requires your ten-digit National Provider Identifier (NPI) for electronic claims. All electronic claims must comply with the HIPAA 5010 transaction set as …

https://www.healthalliance.org/documents/2465

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Clinical Coverage Policy Reference Tool - Alliance Health

(7 days ago) WEBNCDHHS reserves the right to require Alliance follow additional NC Medicaid Direct Clinical Coverage Policies. For additional questions, please direct inquiries to Alliance Provider …

https://www.alliancehealthplan.org/providers/auth/clinical-coverage-policies/

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Horizon Blue Cross Blue Shield of New Jersey Cardiology and …

(7 days ago) WEBThree Penn Plaza East, Newark, New Jersey 07105. CMC0011080 (1119) Horizon Blue Cross Blue Shield of New Jersey Cardiology and Advanced Imaging Programs. …

https://www.horizonblue.com/sites/default/files/2019-11/Radiology_Imaging_Code_List.pdf

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Announcing the Procedure Code Lookup Tool - Central California …

(9 days ago) WEBThe tool is available in the authorizations and referrals section of the Provider Portal. Note that login is required to access the tool. If you have any questions about the …

https://thealliance.health/announcing-the-procedure-code-lookup-tool/

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Diagnostic Imaging - NJ Health Insurance & Healthcare Provider

(7 days ago) WEBAll 78000 nuclear medicine studies are included in this section, please consult your Provider Manual to determine which nuclear studies require prior …

https://www.horizonblue.com/sites/default/files/2018-02/Diagnostic_Imaging_Privileging_Policy.pdf

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