Select Services No Longer Require Case Management

We’re streamlining case management services to provide you with faster and easier service and have removed the following services requiring prior authorization:

  • Bili Lights
  • Enteral Feeding
  • Home Health Care
  • Outpatient Hospice
  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy

This change is effective January 1, 2019. Group specific benefit limitations may apply. Providers are encouraged to verify member benefits using the eligibility and benefits tool at Availity.com.

Please remember our call center is now open from 7:00-8:00 a.m. exclusively for provider calls. Call 888-359-6592 to take advantage of this option for reduced on-hold time.

Share

Related Posts
Prior Authorization Portal Update
Announcements Prior Authorization Portal Update Providers should begin using the online prior authorization submission portal in Availity. It is now live and fully accessible….
Concurrent Review Video
Announcements Concurrent Review Video We have recently created a video to help you easily navigate the concurrent review process on Availity. As a reminder,…
Tips: CPT Code 83036 Billing
Reminder CPT Code 83036 Billing Tips As a reminder, Providers should include category II codes when billing CPT code 83036. Claims without the category…

Fewer Hassles. Better Service.