Precertification list changes effective January 1, 2023
To obtain precertification, providers can access Availity* at www.availity.com or call our Utilization Management department using the number on the back of the member’s identification card. Service preapproval is based on member’s benefit plan/eligibility at the time the service is reviewed/approved.
Precertification can help avoid unnecessary charges or penalties by helping to ensure that the member's care is medically necessary and administered at an appropriate network facility and by a network provider.
October 2022 Provider Newsletter – Maine