07/15/2011
Reminder: Pre-authorizations for select procedures start Aug. 1, 2011
This is a reminder that, beginning Aug. 1, 2011, we're implementing pre-authorization requirements for select medical services for group and Individual members. Pre-authorization services are performed to determine if services meet medical necessity criteria, assuring safety, effectiveness and appropriateness of treatment for our members, while better managing cost.
Our May 11 article outlined the services for which group and Individual members will need pre-authorization if the service date is scheduled for Aug. 1, 2011, or later. In the past month, we have been reviewing the specified treatments and coordinating with providers.
Certain self-insured groups are exempt from these requirements and will continue to follow their contract customization requirements. Requirements for Asuris TruAdvantageTM members will be implemented in September.
If you have questions, please talk to your Asuris sales contact.
« Back to Communications
|
