endstream endobj 170 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 252 0 obj <>/Subtype/Form/Type/XObject>>stream H��� H��� f s Certification Request Form.

1 g f Precertification occurs before inpatient admissions and select ambulatory procedures and services. Notification is a data-entry process that does not require judgment or interpretation for benefits coverage.

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0.5 0.5 17 17 re endstream endobj 236 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC © 2020 Narus Health. 0 0 18 18 re s f These reviews support the member in understanding what is covered within their benefit design and evaluate whether the service is an appropriate standard of care or experimental.

http://healthchoiceconnect.com/certification_portal_new.html, Home Health Care (Visits limited to 100 per calender year), Outpatient, Intensive Outpatient Therapy, TMS, Esketamine and ABA, Physical Medicine/Physical Therapy (Outpatient), Outpatient and Intensive Outpatient Therapy, Patient’s full name, address, and phone number, Admitting/Ordering physician’s full name, address, phone number and tax ID, Facility name, address, phone number and tax ID. endstream endobj 183 0 obj <>/Subtype/Form/Type/XObject>>stream For all other inquiries, please contact us via the emergency phone number listed above. 0.75293 g

/Tx BMC endstream endobj 173 0 obj <>/Subtype/Form/Type/XObject>>stream We will be in touch shortly. Today, Lucent Health, with its 30 plus years of experience, has a growing list of diverse clients across the U.S. managed through the Lucent Health campuses located in Nashville, Dallas, Sacramento, Denver, and Appleton.

Lucent Health’s partnership with Narus helps employers curb unnecessary expenses while simultaneously improving the healthcare experience for employees and their caregivers. /Tx BMC endstream endobj 200 0 obj <>/Subtype/Form/Type/XObject>>stream 0 0 18 18 re todd.cato(at)narushealth.com. EMC

Procedures and services on the precertification lists may require notification and/or a coverage determination. Rodewald and Burcham quickly saw the opportunity of a strategic partnership between their two firms. Reach out to the author: contact and available social following information is listed in the top-right of all news releases.


endstream endobj 218 0 obj <>/Subtype/Form/Type/XObject>>stream Mark Stephen Ware, Senior Vice President, Marketing 1D���)�Yw�������� �)z���� �y�T���s�Riu�}a�J�M��~Xa�����ӣ���v?>hY�'ƌ$�8�h5���Zv���e�q /Tx BMC October 01, 2017. Provider Forms. 0.5 0.5 17 17 re H��� 0 0 18 18 re

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Medical professionals or part of a medical group, Other networks (including our First Health, Medicare Part D, and Workers’ Compensation Networks), Procedures and services on the Aetna Participating Provider Precertification List, Procedures and services on the Aetna Behavioral Health Precertification List, Procedures and services that require precertification under the terms of a member’s plan, Any organization determination requested by a Medicare Advantage member, appointed representative* or physician for a coverage decision. NC Uniform Application to Participate as a Health Care Practitioner. H��� �@D���)�Yo���lE;a!�.�(X���7̓���訩p���Id�>Y]8��{�x៣ ��y��$�����=����/�K�O�P���c4̸ ��> EMC endstream endobj 238 0 obj <>/Subtype/Form/Type/XObject>>stream EMC

EMC endstream endobj 222 0 obj <>/Subtype/Form/Type/XObject>>stream We also help the member understand the services covered within their health benefit and make referrals to case management to ensure the member is supported throughout their medical journey. Health Details: Precertification Form - Lifestyle Health Plans.Health Details: Care Advocates / 345 N. Riverview / Suite 750 / Wichita, KS 67203 Tel: (316) 616-6181 / Toll Free: (844) 643-5104 / Fax: (316) 928-2539 / www.careadvo.net MEMBER INFORMATION Member Name: Birth Date: Insurance ID Number: Phone Number: Elective for … s Nashville, TN (PRWEB) → Traveling by train, bus or car.

https://providerinfosource.healthlink.com > Utilization Management > HealthLink Standard Precertification Listings . H��� Lucent Health, a leading healthcare risk management and administrative services company, has formed a strategic partnership with Narus Health, a highly specialized, patient-centric care management company. endstream endobj 205 0 obj <>/Subtype/Form/Type/XObject>>stream 1 g endstream endobj 210 0 obj <>/Subtype/Form/Type/XObject>>stream Narus Health’s utilization management is monitored to ensure that the care your employees receive is appropriate and of the best quality. s 0.75293 g 1 g 0.5 0.5 17 17 re /Tx BMC endstream endobj 176 0 obj <>/Subtype/Form/Type/XObject>>stream �@D���)�Yo���lE;a!�.�(X���7̓���訩p���Id�>Y]8��{�x៣ ��y��$�����=����/�K�O�P���c4̸ ��> endstream endobj 211 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream ... Not valid for Cigna precert ©2020 Lucent Health Solutions.

0.75293 g With Lucent Health’s well-established track record in medical cost management and data analytics, and Narus’ expertise in delivering personalized care through sophisticated technology, their combination promises to provide needed support in ways that, until now, weren’t easily possible. EMC If you have an urgent/emergent case, please call 1-800-323-4314 and select Option 2. H��� EMC The Lucent-Narus solution is positioned to do that very thing.”. endstream endobj 175 0 obj <>/Subtype/Form/Type/XObject>>stream \�` ,u 0 0 18 18 re At this time, the web-form is only available on tablets, laptops, and desktops. H�2TH�2P0P��3351U04�33�0R(J�J�2�3U a��\�� � 5�. EMC 0.75293 g H��� endstream endobj 201 0 obj <>/Subtype/Form/Type/XObject>>stream EMC s /Tx BMC H��� 0.5 0.5 17 17 re Learn More. endstream endobj 194 0 obj <>/Subtype/Form/Type/XObject>>stream 0 0 18 18 re \�` ,u 1D���)�Yw�������� �)z���� �y�T���s�Riu�}a�J�M��~Xa�����ӣ���v?>hY�'ƌ$�8�h5���Zv���e�q \�` ,u endstream endobj 250 0 obj <>/Subtype/Form/Type/XObject>>stream If a member fails to secure a precertification prior to receiving the services listed above, benefits are reduced to a 50 percent coinsurance level. 0.5 0.5 17 17 re Narus Health (@NarusHealth), empowers individuals and families facing the challenges of medical illness. Aetna staff members are trained to determine whether a caller is making an inquiry or requesting a coverage decision/organization determination as part of the intake process. endstream endobj 184 0 obj <>/Subtype/Form/Type/XObject>>stream The list of standard services requiring pre-certification is located online at . Welcome to the online certification portal website for precertification requests through the HealthChoice Certification Administrator, American Health Holdings (AHH). Questions about your PRWeb account or interested in learning more about our news services?


1D���)�Yw�������� �)z���� �y�T���s�Riu�}a�J�M��~Xa�����ӣ���v?>hY�'ƌ$�8�h5���Zv���e�q H��� We provide personalized care combining patient advocacy, skilled clinicians and advanced technology. 161 0 obj <> endobj All admission evaluations and reviews are conducted by registered nurses with an average of 10 or more years of clinical experience or by board-certified physicians. Answer YES if you get Aetna coverage through your job or your spouse’s job, or if you have an Aetna Medicare plan.

f For an observation exceeding 23 hours, failure to contact utilization management on the

Charges submitted for payment are subject to all terms of the policy. 0 0 18 18 re

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Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. 0 0 18 18 re What people prefer is to have someone truly listen, provide personal support and offer specific guidance for them and their family,” said Lucent Health co-founder and CEO Brett Rodewald.

1 g /Tx BMC “We’ve all been touched by a medical crises or known someone close to us who has been impacted that way. 0.75293 g EMC endstream endobj 235 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream

endstream endobj 225 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream © Lucent Health | All content on this site is copyrighted by Healthx. “Our relationship with Narus Health will help Lucent Health engage the member more at the very beginning of their medical journey and remain proactively engaged thereafter in a valuable way; we’re delighted to have this opportunity to partner with the leadership of Narus Health and their care delivery team.”.

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EMC PRECERTIFICATION/REFERRAL REQUEST FORM OFFICE AMBULATORY SURGICAL CENTER OUTPATIENT HOSPITAL REQUESTED DATE OF SERVICE HOME DME INPATIENT/ACUTE REHAB/ LTAC SNF SCHEDULED ADMIT DATE Member Name (full name) _____ Date of Birth Member ID# Other Insurance/Worker’s Comp PCP Name _ PCP Phone # CPT/HCPCS Code Qty units visits … Medication Request Form \�` ,u endstream endobj 254 0 obj <>/Subtype/Form/Type/XObject>>stream The agreement brings to market a completely new style and scope of care management service. endstream endobj 192 0 obj <>/Subtype/Form/Type/XObject>>stream REFERRALS.

Unless otherwise stated, the representative will have all of the rights and responsibilities of an enrollee or party in obtaining an organization determination, filing a grievance, or in dealing with any of the levels of the grievance or appeals process, subject to the applicable rules described in 42 CFR 422 Subpart M. To meet the CMS definition of appointed representative, the member and the member’s appointed representative must both sign and date a representative form.

f endstream endobj 212 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 206 0 obj <>/Subtype/Form/Type/XObject>>stream Public Health Passenger Locator Form Thank you for helping us protect your health → Travelling by air. To submit requests that require certification through the HealthChoice Health Care Management Unit (HCMU), please visit http://healthchoiceconnect.com/certification_portal_new.html and complete the appropriate form.

These referrals provide an automatic approval for …

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