Submitting authorization for NICU services facilitates accurate and timely claims processing

As a crucial part of our commitment to providing the highest quality care and ensuring accuracy and timelines in the processing of claims, please remember to obtain prior authorization for neonatal intensive care unit (NICU) services at the level you intend to provide services.

Obtaining prior authorization helps us:

• Ensure timely and appropriate care for our smallest and most vulnerable patients.
• Streamline the claims process, thereby reducing delays and potential denials.
• Facilitate accurate and efficient billing, which saves time and resources for everyone involved.

Please ensure all nonemergent NICU services are prior authorized before the commencement of treatment and continue to provide updates concurrently. This proactive step is essential for maintaining smooth and efficient operations. Prior authorization is not required for emergent NICU services or NICU services provided in the first 48 hours following birth for vaginal delivery and 96 hours following birth for cesarian delivery.

Should you have any questions or need further assistance with the authorization process, please do not hesitate to contact Provider Services via the number on the back of our member ID card.