Funding Tied to Patient Health Assessments
Patients get better care when we fully understand their needs. That's why government funding is so closely tied to provider documentation.
Annually coding and documentation ensure our ability to properly calculate risk and receive proper payments.
Durable Medical Equipment -- Prior Authorization
Durable Medical Equipment (DME)
greater than $500 may require a prior authorization.
This depends on the member's Certificate of Coverage and Prevea360 Health Plan's
medical policies.
Updates
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Important Links
Mission of Provider News
New Paper Form Available for Claim Review Requests
Notification Necessary for Provider Demographic Changes
Requesting Utilization Management Criteria