Home Administrative Billing & Reimbursement BlueCard® Health and Wellness Medical PEAR portal Pharmacy Products Quality Management

Reminder: Use updated precertification requirements lists

September 1, 2011

[

As previously communicated, important changes have been made to the list of services and drugs that require precertification for dates of service on or after September 1, 2011. It is very important that providers verify member-specific requirements using the NaviNet? web portal or by referring to the most current precertification requirements lists, which are available at www.ibx.com/providers/preapproval.

Failure to obtain precertification for any of the services or drugs that require it may result in a reduction in payment or nonpayment for the services not precertified. Please refer to the article in the June edition of Partners in Health UpdateSM for the complete list of changes to precertification requirements.

Note: These new precertification requirements apply to commercial members for dates of service on or after September 1, 2011; Medicare Advantage HMO and PPO members will transition for dates of service on or after January 1, 2012.

NaviNet? is a registered trademark of NaviNet, Inc., an independent company.

]

This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of Independence Blue Cross. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.
Connect with us     Facebook     Twitter     Flickr     YouTube     Walk the Talk    Independence Pinterest    Independence LinkedIn    Independence Instagram Site Map        Anti-Fraud        Privacy Policy        Legal        Disclaimer
© 2023 Independence Blue Cross.
Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.