Web(Prior auth. required) 1* 30% coinsurance after deductible 2 Short-Term Therapies: Physical, Speech, Occupational 10% coinsurance after deductible (The maximum number of visits allowed for a specific diagnosis is determined by medical necessity) 1 30% coinsurance after deductible (The maximum number of visits allowed for a specific diagnosis is WebJan 3, 2024 · Medicare Part D Hospice Prior Authorization Information Form Please use this form to submit requests to determine coverage eligibility for drugs under Medicare Part D when the member is enrolled in Hospice (as per Highmark Pharmacy Policy J-30). Pharmaceutical Management (Clinical Management Programs)
Highmark Blue Shield
WebMar 1, 2024 · The prior approval request must include all surgical procedures anticipated/planned to change the member’s biological gender, where the procedure(s) will be performed, and the estimated procedure date(s). For Female-to-Male Gender Reassignment Surgery —Procedure Codes 19303, 53430, 54400, 54401, WebDelaware Help Center: Important contact information for Highmark Blue Cross and Blue Shield Delaware. fisher price laugh \u0026 learn house
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WebMedical Injectable/Specialty Drug Authorization Submissions. 3/17/2024. PA CHIP Eligibility Transitioning to DHS. 3/9/2024. 2024 Office And Outpatient Evaluation And Management (E/M) Coding Changes. Read More Special Bulletins. Provider News. Issue 3, March 2024. Medical Policy Update. March 2024. To Top. Report Site Issues. WebApr 6, 2024 · Authorization Forms. Bariatric Surgery Precertification Worksheet. Behavioral Health (Outpatient - ABA) Service Authorization Request. Designation of Authorized … WebHighmark Frequently Used Contact Information OASIS Eligibility, benefits and status of claims: call 1-800-462-7474, or in the Harrisburg area, 1-717-302-5125 on your touch-tone telephone. Precertification Inquiries In the Western Region Only, please call: Healthcare Management Services via the Provider Line at canal plus online kod