[
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.
]