WebJan 9, 2024 · Call the Provider Service Center at 1-800-543-7822, for information regarding specific plans. For all other Highmark West Virginia members, complete the Prescription Drug Medication Request Form and mail it to the address on the form. To search for drugs and their prior authorization policy, select Pharmacy Policies - SEARCH on the left menu … WebJul 1, 2024 · Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue Shield Plans. 5 Ear Molds Services Codes Prior Authorization Requirement Ear mold/insert, not disposable, any type. V5264 If the cost is greater than $500, prior authorizations are required.
Contact Information - Highmark Blue Shield
WebHighmark Blue Shield will be on your left. Allentown Walk-In Center 7248 Tilghman St. Allentown, PA 18106 Hours of operation: 8:00 a.m. to 4:30 p.m. EST From I-81 N., take the I-78 E exit towards Allentown. Merge onto I-78 E. Take the PA-100 N. exit-exit number 14B-towards Fogelsville. Merge onto PA-100 N. Turn Slight Right onto PA-1002. Websubject to prior authorization requirements. To request a prior authorization: Log in at www.evicore.com or call eviCore healthcare’s call center at 888-564-5492 between 7 a.m. – 7 p.m. local time. If prior authorization is initiated via phone and additional clinical information is required, fax to 1-800-540-2406. Be sure to include the ... brooklyn kings county ny
eviCore healthcare Prior Authorization for Highmark
WebHighmark transitions to MCG health clinical guidelines. Effective February 13, 2024, Highmark will incorporate MCG Health clinical guidelines into Highmark’s criteria of clinical decision support, replacing Change Healthcare (InterQual). This change is being made to align the clinical review processes and platforms for Highmark health plans. Webn Non-Formulary n Prior Authorization n Expedited Request n Expedited Appeal n Prior Authorization n Standard Appeal CLINICAL / MEDICATION INFORMATION PRESCRIPTION DRUG MEDICATION REQUEST FORM FAX TO 1-866-240-8123 To view our formularies on-line, please visit our Web site at the addresses listed above. Fax each form separately. WebPlease note that the drugs and therapeutic categories managed under our Prior Authorization and MRXCprograms are subject to change based on the FDAapproval of new drugs. HIGHMARK MEDICARE-APPROVED FORMULARIES Additional drugs and/or therapeutic categories that require prior authorization and the required information are … brooklyn kings county hospital