Dean Health Plan Prior Auth

Behavioral Health Prior Authorization Dean Health Plan

Health 55 People Used

To request a prior authorization or notify Dean Health Plan of an urgent/emergent admission: Submit information through the Provider Portal (if you have access). Fax request to 608-252-0830 using the behavioral health prior authorization form . …

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Prior Authorization For Radiology Dean Health Plan

Prior 51 People Used

Radiology Prior Authorization Alert: Effective for service dates on and after 9/1/2020, the health plan is reinstating the prior authorization requirement for Chest CT scans, which was termporarily waived in response to the COVID-19 public health emergency. Magellan Healthcare Coronavirus Information Required for outpatient procedures

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Medical Management For Providers Dean Health Plan

Medical 50 People Used

Dean Health Plan medical management Authorization and coverage Medical prior authorization service list Medical Injectables Exception to Coverage form (for new FDA approved drugs on the market for less than a year and have not been reviewed or granted approval through the Pharmacy & Therapeutics Committee.) Non-covered services

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CASE STUDY: DEAN HEALTH PLAN Teaming Up To …

CASE 46 People Used

CASE STUDY: DEAN HEALTH PLAN Teaming Up to Improve Prior Authorization Addressing Hepatitis C Population Managment The Dean Clinic Infectious Disease (ID) Department, led by Dr. James Levin, sought a more efficient prior authorization process for hepatitis C …

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Sign In Dean Health Plan

Sign 25 People Used

If you need assistance accessing information or documents on the Dean Health Plan website and require the information be provided in an alternate format, please Contact Us. Sign in to Dean Health Plan Provider Portal

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Dean Health Plan Medicare Advantage Plans – Prior

Dean 52 People Used

Requests to non-plan providers must be approved prior to obtaining services. Updated: 12/23/2021 . Title: Dean Health Plan Medicare Advantage Plans – Prior Authorization Request Form Author: Dean Health Plan Subject: Dean Health Plan Medicare Advantage Plans – Prior Authorization Request Form Keywords: Dean Health Plan Medicare Advantage Plans – …

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Dean Health Plan ETF

Dean 21 People Used

Dean Health Plan, a If you are unsure if a service, test or procedure requires prior authorization or a referral, contact 1-800-279-1301 prior to the appointment. Emergency and Urgent Care. If you require emergency or urgent care when outside of the network, seek care at the nearest medical facility. Contact the Customer Care Center at 800-279-1301, if possible, …

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Outpatient Services Fax Completed Form To: 608 2520830

Services 54 People Used

Outpatient Services Fax Completed Form to: 608 -252-0830 Underwritten by Dean Health Plan, Inc. If you have any questions regarding the services or form, please contact Customer Service at 877-230-7555 or review Prevea360 Health Plan’s Medical Management site. Requests to non-plan providers must be approved prior to obtaining services.

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Dean Health Plan Utilization Review Matrix 2021

Dean 48 People Used

These codes do not require prior authorization. If the main surgical procedure is approved, these codes are understood to be included in conjunction and do not require precertification from the health plan. *Please note: This is not an all-inclusive list of every ancillary code. Lumbar Microdiscectomy 63030 62380, 63030, +63035 Discectomy Lumbar Decompression 63047 …

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Magellan Healthcare’s1 Musculoskeletal Care RADMD

Magellan 53 People Used

For non-emergent outpatient and inpatient hip, knee, shoulder and spine surgeries, approved prior authorization is required through Magellan Healthcare, for the following Dean Health Plan products: ACA Individual, HMO, POS, PPO, Self-funded ASO, MAPD, BadgerCare Plus, and the SSM Health Employee Health Plan.

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Dean Health Plan RADMD

Dean 23 People Used

Dean Health Plan has selected National Imaging Associates, Inc. (NIAMagellan) to provide utilization management for physical medicine. Beginning December 21, 2015, providers must request care registration and preauthorization for physical therapy and occupational therapy through NIAMagellan at radmd.com.

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Prior Authorization Prevea 360

Prior 31 People Used

When we receive a prior authorization request from your provider, we typically decide on requests for prior authorization for medical services within 72 hours of receiving an urgent request or within 15 calendar days for non-urgent requests. Remember, even with a prior authorization, not all services are covered at 100%.

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Frequently Asked Questions

How do i contact the prior authorization department?

Please reach out to the Prior Authorization Department with questions at 1-855-839-1032 or email [email protected] with questions. Prior authorization is required for:

What is a prior authorization for mental health and substance use services?

A prior authorization is required for the following mental health and substance use services: For members with mental health and substance use disorders, Dean Health Plan's behavioral health and substance use case management provides an individualized approach. The goal is to help you manage your health and live your best life.

What happens if my prior authorization request is incomplete?

Incomplete prior authorization requests may delay processing. iCare will not retro authorize services rendered prior to the submission of a prior authorization request. For information about Pharmacy Part D prior authorizations, coverage determinations or formulary exceptions, visit the Drug Coverage Information for Providers page.

What if i need an appointment without prior authorization or referral?

If you are unsure if a service, test or procedure requires prior authorization or a referral, contact 1-800-279-1301 prior to the appointment. If you require emergency or urgent care when outside of the network, seek care at the nearest medical facility.

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