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GI-LAB.05.EHR.WS Rev 06/17. IMPORTANT PROCEDURE INFORMATION. 1. Pre-Certification vs. Covered Benefit vs. Covered Payment: Pre-Certification is a requirement of most insurers which notifies them that a medical procedure is being scheduled. This affords them the opportunity to deny the procedure if they
“Provider" within this manual refers to entities and individuals contracted with BCBSGa that bill on a CMS. 1500. .. To the extent the physician draws any lab work or performs any laboratory diagnostic testing in his/her office . The drug-specific preauthorization forms are available on our web site at www.bcbsga.com.
EHR.GI.WS.04 Rev 03/17. IMPORTANT PROCEDURE INFORMATION. 1. Pre-Certification vs. Covered Benefit vs. Covered Payment: Pre-Certification is a Your procedure will be performed at the Boulder Medical Center, GI-Lab located on the 2nd floor at 2750. Broadway in order to avoid a cancellation charge of $150.
26 Apr 2017 When you use Anthem's Interactive Care Reviewer (ICR) to initiate a request for precertification of some inpatient and outpatient procedures,* Ordering and servicing physicians and facilities can inquire to find information on a . LAB.00034 - Serological Antibody Testing For Helicobacter Pylori. This new
In-lab sleep study (PSG). • Titration study. • Initial treatment order (APAP, CPAP, BPAP, oral devices, appliances and related supplies). • Ongoing treatment order (APAP, CPAP, BPAP, oral devices, appliances, and related supplies). BCBSGa uses sleep diagnostic and treatment guidelines developed by AIM.
Court-ordered behavioral health services will be provided in accordance with of this QRC for more information. Diagnostic Testing n No precertification is required for routine diagnostic testing. n Precertification is required for coverage of video EEG. . diagnostic laboratory tests to an Amerigroup participating lab such as
Lab Precertification. Effective Jan. 1, 2016, BlueCross BlueShield of South Carolina and BlueChoice® HealthPlan of South Carolina will require Avalon Healthcare Solutions to precertify certain lab procedures when performed in an office, outpatient or independent lab location. Avalon is an independent company that
This guide is to help you order the correct imaging study. HOW TO USE THIS GUIDE: 1. Choose modality o CT o Fluoroscopy o MRI o Ultrasound o MG Decision Tree. 2. Find indication (Use ctrl+F on keyboard to search for keywords). 3. Choose study and appropriate CPT code or codes. 4. Use the prior authorization guide
administered. Failure to obtain a prior authorization for the procedures listed in the appendices will result HMO), the referral is required for a specialist to order or render any of these services, excluding the following CareCentrix network, the Florida Blue website contains Medical Policies (Medical Coverage Guidelines).
Please be sure all items below are complete for the study of interest BEFORE submitting your order (be sure to submit these items with your order, as applicable), For Your Convenience. ICD-9 Codes, Image Ordering Guides. Computed Tomography (CT). Primary Order Form (complete Lab results (IV contrast studies)
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