© Lucent Health | All content on this site is copyrighted by Healthx. �@D���)�Yo���lE;a!�.�(X���7̓���訩p���Id�>Y]8��{�x៣ ��y��$�����=����/�K�O�P���c4̸ ��> 0.5 0.5 17 17 re s Nashville, TN (PRWEB) October 01, 2017. endstream endobj 190 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC 0.5 0.5 17 17 re \�` ,u /Tx BMC H��� 0.5 0.5 17 17 re 0 © 2020 Narus Health.

0.5 0.5 17 17 re 0 0 18 18 re EMC \�` ,u 1 g 0.5 0.5 17 17 re Welcome to the online certification portal website for precertification requests through the HealthChoice Certification Administrator, American Health Holdings (AHH). Todd Cato, Chief Development Officer endstream endobj 200 0 obj <>/Subtype/Form/Type/XObject>>stream

s We will be in touch shortly. H��� endstream endobj 197 0 obj <>/Subtype/Form/Type/XObject>>stream BlueChoice HealthPlan Automatic Approvals for . This online certification process is designed to improve the response time for … endstream endobj 211 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream EMC 835/Electronic Remittance Set-Up Request . 0 0 18 18 re

0.5 0.5 17 17 re Learn more >, Aetna.com works best with Safari 8 and above. endstream endobj 186 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC “Employers have grown tired of the status quo. Verbal or written requests for information about benefits or services covered under the terms of a specific member’s plan for services not on the precertification lists are not part of the precertification process.

02 Care + Advocacy. EMC For language services, please call the number on your member ID card and request an operator. 1 g H��� �@D���)�Yo���lE;a!�.�(X���7̓���訩p���Id�>Y]8��{�x៣ ��y��$�����=����/�K�O�P���c4̸ ��> 0.5 0.5 17 17 re 0 0 18 18 re Our Specialty Care Review program offers a more comprehensive set of services to evaluate the value and appropriateness of newer, high-cost testing and procedures. f You and our members (and their appointed representatives) will know coverage decisions before procedures, services or supplies are provided. /Tx BMC /Tx BMC s

�@D���)�Yo���lE;a!�.�(X���7̓���訩p���Id�>Y]8��{�x៣ ��y��$�����=����/�K�O�P���c4̸ ��> /Tx BMC EMC 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. PRE -CERTIFICATION / REFERRAL USER GUIDE. 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 endstream endobj 194 0 obj <>/Subtype/Form/Type/XObject>>stream Notification is a data-entry process that does not require judgment or interpretation for benefits coverage.

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Thank you for your interest in submitting a pre-certification request via web-form. f endstream endobj 214 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC endstream endobj 205 0 obj <>/Subtype/Form/Type/XObject>>stream 0.5 0.5 17 17 re Patient or Patient Healthcare representative: Utilization Review Plan Requirements - The following states have specific pre-cert requirements, please click on your state if listed below, if not, proceed below. s endstream endobj 165 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj startxref /Tx BMC → Traveling by train, bus or car. We offer an integrated care management platform designed to support patient care whether delivered in the home, by phone, through video, or on our app. /Tx BMC endstream endobj 228 0 obj <>/Subtype/Form/Type/XObject>>stream The HSConnect portal allows participating providers access to customer information with more efficient tools, so you, the provider, can focus on patient care. Rodewald and Burcham quickly saw the opportunity of a strategic partnership between their two firms. 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 … 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. EMC

endstream endobj 177 0 obj <>/Subtype/Form/Type/XObject>>stream All rights reserved. Prior Authorizations: Behavioral Health Inpatient Welcome to HSConnect!

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Our utilization review program provides pre-authorization and medical necessity reviews that ensure members receive appropriate care while addressing opportunities for cost savings.

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0.75293 g Thanks for reaching out. EMC f Narus Health (@NarusHealth), empowers individuals and families facing the challenges of medical illness.

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s endstream endobj 173 0 obj <>/Subtype/Form/Type/XObject>>stream Narus Health empowers individuals and their families facing the challenges of serious illness. 299 0 obj <>/Filter/FlateDecode/ID[<7CE81126F0D51E47B211BCFBD3956968>]/Index[161 227]/Info 160 0 R/Length 223/Prev 115297/Root 162 0 R/Size 388/Type/XRef/W[1 3 1]>>stream Our care team offers the support, education, and treatment that our patients and families need, when they need it. EMC The Lucent Health family of companies consists of Capitol Administrators, Cypress Benefit Administrators and North America Administrators. Partnership helps employers curb unnecessary expenses while simultaneously improving the healthcare experience for employees and their caregivers. endstream endobj 246 0 obj <>/Subtype/Form/Type/XObject>>stream 0.5 0.5 17 17 re The personalized approach to care support improves the physical, psychological, and logistical burdens of disease by providing patient advocacy, care coordination, skilled clinician oversight, and advanced technology, delivering help and support when you need it, where you need it - 24/7/365.

EMC endstream endobj 223 0 obj <>/ProcSet[/PDF/Text]>>/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. f

�@D���)�Yo���lE;a!�.�(X���7̓���訩p���Id�>Y]8��{�x៣ ��y��$�����=����/�K�O�P���c4̸ ��> In order to have the best experience on Aetna.com, Javascript needs to be enabled. 0.75293 g Learn More. © 2020 Narus Health. Mark Stephen Ware, Senior Vice President, Marketing

/Tx BMC Palliative care, a relatively new subspecialty in medicine, focuses on improving the quality of life for patients and their families. Lucent Health (@LucentHealth), based in Nashville, TN, empowers U.S. employers with personalized member care, vital healthcare plan performance data and reduces healthcare risks and costs while improving employee access to innovative services.

EMC 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. 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. EMC After completing this form, you will be contacted regarding the outcome of your request. EMC f About Lucent Health H��� EMC endstream endobj 243 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream /Tx BMC H��� In his career as a CEO, Rodewald has experienced the same frustration as most companies who are faced with the same challenges in trying to manage rising healthcare expenditures with limited access to useful data.

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Charges submitted for payment are subject to all terms of the policy. Precertification applies to: You can submit a precertification by electronic data interchange (EDI), through our secure provider website or by phone, using the number on the member’s ID card. 0.5 0.5 17 17 re f 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 … f endstream endobj 189 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 179 0 obj <>/Subtype/Form/Type/XObject>>stream

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These referrals provide an automatic approval for … 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. For other language services. \�` ,u /Tx BMC endstream endobj 198 0 obj <>/Subtype/Form/Type/XObject>>stream EMC H�2TH�2P0P��3351U04�33�0R(J�J�2�3U a��\�� � 5�. /Tx BMC More stringent state requirements may supersede our precertification requirements. endstream endobj 255 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream

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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 218 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 215 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream

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