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Preauthorization & Notification information for Commercial and Medicare Plans

Learn about new preauthorization and notification processes and download available lists.

Man studying molecules

Molecular Diagnostic / Genetic Testing

DNA Direct administers services related to molecular diagnostic / genetic testing (MD / GT). These services require preauthorization.

Doctor reviewing medical records

Radiation Therapy

HealthHelp administers services related to radiation therapy. Use RadConsultTM, HealthHelp's service for obtaining preauthorization or providing notification for radiation therapy.

Pain Management

OrthoNet administers services related to pain management

Outpatient Therapy

(Speech Therapy, Occupational Therapy and Physical Therapy) OrthoNet administers outpatient therapy services, as well.

Radiology Services

HealthHelp administers radiology services, as well. Use RadConsultTM, HealthHelp’s service for obtaining preauthorization or providing notification for radiology.

Preauthorization and Notification Lists

January 24, 2010 Medicare Preauthorization and Notification List
(0.1 MB) Download PDF
English
January 24, 2010 Commercial Preauthorization and notification List
(99 KB) Download PDF
English
July 10, 2009 Medicare Preauthorization and Notification List
(228 KB) Download PDF
English
July 10, 2009 Commercial Preauthorization and Notification List
(214 KB) Download PDF
English
December 1, 2008 Medicare Preauthorization and Notification List
(228 KB) Download PDF
English
December 1, 2008 Commercial Preauthorization and Notification List
(214 KB) Download PDF
English
January 15, 2008 Preauthorization & Notification List
(64 KB) Download PDF
English
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