Precertification list changes effective January 1, 2023

The precertification list will be updated effective January 1, 2023. See the attached PDF for the updates. 

 

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.

 

* Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield.

 

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