Your care manager is here to answer your questions and work with your providers to make sure that you have the right care at the right time. These learning opportunities will assist you in administering your patients health plan and provide you with the knowledge to best assist our members. * CarelonRx, Inc. is an independent company providing pharmacy benefit management services on behalf of the health plan. Below is a partial list of Empire MLTC services. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Empire will proud to serve Medicaid members in New York. Search . Vision benefits are provided through Superior Vision. Health care professionals, billing services and clearinghouses who are new to the EDI space can register to exchange 27x self-service and 837 claims electronic transactions with Anthem in Availity. Managed Long-Term Care (MLTC): Call 1-855-661-0002. Please follow the instructions in the letter to find a new provider or pharmacy before September 1, 2022. These benefits are covered when you join our MLTC program, so you never have any copays. Find learning opportunities to assist with administering your patients health plan using Availity Essentials multi-payer features and payer spaces applications. Have a question? You can get a flu shot at local pharmacies like Rite Aid and CVS. commercial website for more information. Get translation and interpretation services free of charge. Video chat with a doctor 24/7 from your smartphone, tablet or computer at no cost to you. 2021 copyright of Anthem Insurance Companies, Inc. Medicaid, CHPlus, Essential Plan and HARP: 1-800-300-8181 (TTY 711) Be prepared with the knowledge to assist our members. Amerigroup P.O. Vaccination is important in fighting against infectious diseases. Dont have an online account? Contact Us | Empire Information for New York Change State Contact Us Please select from the following categories to find information specific to your question: Need to update your practice or provider information? NY Medicaid Provider Empire BlueCross Health (5 days ago) Effective September 1, 2022, Empire BlueCross BlueShield HealthPlus members must use providers (e.g., pharmacies, providers, and specialists) enrolled with the NYS Medicaid program. With Sydney, you can use your existing username and password to log in, save your member ID card, live chat with a representative, find a provider, and more. Vaccination is important in fighting against infectious diseases. Welcome to Empire BlueCross BlueShield HealthPlus Managed Long Term Care Plan. Empire BlueCross BlueShield HealthPlus is the trade name of HealthPlus HP, LLC, an independent licensee of the Blue Cross and Blue Shield Association. Get the mobile app. If you have questions about this communication or need assistance with any other item, contact your local Provider Experience representative or call Provider Services at 800-450-8753. Use this search to find a PCP by location or specialty. Medical policies address the medical necessity of new services or procedures and new applications of existing services or procedures. NYC Health + Hospitals/Elmhurst. Get the mobile app. The resources for our providers may differ between states. 9/1/22 Medicaid Enrollment Requirement Notice Register today: Exploring the intersection of race and disability June 2022 Call our toll-free 24/7 NurseLine 1-800-300-8181 (TTY 711) | MLTC members, call 1-855-661-0002 Get answers to your medical questions any time, day or night. Clinical UM guidelines focus on detailed selection criteria, goal length of stay, and location for generally accepted technologies or services. Services provided by HealthPlus HP, LLC, a licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Individuals & Family Plans (under age 65): 1-844-305-6963 Medicare Supplement and Medicare Advantage Plans: 1-855-731-1090 (TTY/TDD: 711) please call us 8:00am - 8:00pm 7 days a week except Thanksgiving and Christmas Employers Plans: Contact your broker or consultant to learn more about Empire plans. Whether its 3 a.m. or a Sunday afternoon, health issues come up. Didnt find what youre looking for? New York State, Telephone: Already a member? The ICR allows detailed text, photo images and attachments to be submitted along with your request. Please visit Find drug lists, pharmacy program information, and provider resources including the prior authorization process. It looks like you're outside the United States. To reach your care manager, call Member Services at 1-855-661-0002 (TTY 711). We currently don't offer resources in your area, but you can select an option below to see information for that state. Were available to talk in person at any one of our. For some covered services, you may need a physicians order and/or prior approval from Empire before you receive them. Healthplex , Health (2 days ago) WebConnect by Phone Were happy to answer any questions you may have. Get the mobile app. You do not need to see your primary care provider (PCP) before getting behavioral health services. Get translation and interpretation services free of charge. Get help with mental health or substance use issues any time day or night.. Call Monday through Friday from 8 a.m. to 8 p.m. Eastern time/Saturday from 9 a.m. to 5 p.m. Eastern time. 1-800-300-8181 (TTY 711) Just bring your health insurance card along with a photo ID when you go. 1-800-342-9871. The resources for our providers may differ between states. Medical Policy and Prior Authorization for Blue Plans. This is the customer service number for questions about your health insurance coverage, benefits or , Health (3 days ago) WebIf you need help, please call 1-888-245-3934 (TTY User: 711) Mon - Fri, 8am - 9pm ET for Customer Service Representatives and licensed insurance agents who can assist with , Health (3 days ago) WebCustomer support [emailprotected] Phone Give Us A Call Your satisfaction is our top priority 800.822.6225 Business hours Mon - Thurs: 8:00 AM - 4:30 PM PST Friday: , Health (7 days ago) WebBacked by Health Plus Management (HPM), practices are positioned to generate prosperity beyond what might otherwise be feasible. The CDPAS provides in-home services for people who: Being a self-directing member means you or a person you choose are responsible for making decisions about and managing your CDPAS services. The resources for our providers may differ between states. A flu shot can help protect you and your loved ones for months to come. Visit our COVID-19 Resource Center for more information. Log in to your account and send us a message. Your "one-stop shop" comprehensive information center for online behavioral health resources. Behavioral Health Support 1-800-300-8181 (TTY 711) Get help with mental health or substance use issues. Health (1 days ago) WebPhone: 1-800-450-8753 Prior authorization fax (medical): Fax: 1-800-964-3627 Behavioral health inpatient precertification fax: Fax: 1-877-434-7578 Behavioral health outpatient precertification fax: . Empire wants you to understand your benefits and receive the best possible care. We've provided the following resources to help you understand Empire's prior authorization process and obtain authorization for your patients when it's . Prior Authorization. Empire is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. InteractiveCare Reviewer is a utilization management tool that lets you submit prior authorization requests and other clinical information quickly and easily. Alta Bates Summit Medical Center Anesthesiology, a Medical Group Practice located in Berkeley, CA Log in to your account and send us a message. Check out Empire's Individual and Family plans. Find a Doctor; Getting Care 24/7; . All you need is your smartphone, tablet or computer.Sign up or log in to get started. Our Member Services team is here to help. Find All Providers. Empire Blue Cross Blue Shield to Change ID Numbers for City of New York Members Anthem taps Paul Marchetti to lead company's overall care transformation strategy Medicare Supplement claim error expected to be resolved by March 31, 2017 Update: Empire and South Nassau Reach Agreement We work Monday- Friday (8:00 AM EST - 4:00 PM EST) 207 Park Lawn , Health (7 days ago) WebGet convenient online service through the ProviderPortal, or call AIM Specialty Health for support at 800-554-0580. We work collaboratively with hospitals, group practices and independent behavioral healthcare providers, community and government agencies, human service districts, and other resources. 2021 copyright of Anthem Insurance Companies, Inc. Contact Us CarePlus Members , Health (9 days ago) WebHealth Pluss administration cooperated 100% in terms of complying with all recommendations made, purchasing all the products and services recommended and , Health (1 days ago) WebMembers can refer to the back of their membership card for their customer service telephone number or see all of our contact numbers Customer Service. We can help you live your best life. HEDIS (The Healthcare Effectiveness Data & Information Set), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Centers of Medical Excellence Transplant Operations Manual, New York Medicaid provider quick reference card, Behavioral Health Quick Reference Benefit Grid, Medical Policies & Clinical UM Guidelines: Full List, August 2022 Clinical Utilization Management Guidelines, February 2022 Clinical Utilization Management (UM) Guidelines, November 2021 Clinical Utilization Management (UM) Guidelines, August 2021 Clinical Utilization Management (UM) Guidelines, May 2021 Clinical Utilization Management (UM) Guidelines, February 2021 Clinical Utilization Management (UM) Guidelines, November 2020 Clinical Utilization Management (UM) Guidelines, May 2020 clinical utilization management (UM) guidelines, February 2020 clinical utilization management (um) guidelines, Electronic Clinical Data Systems coding booklet, HEDIS ECDS Prenatal and Postpartum Care Coding Bulletin 2023, HEDIS Well Child and Immunizations Coding Bulletin 2023, HEDIS telehealth eligible measures coding bulletin. Interested in joining our provider network? MLTC: 855-661-0002 (TTY 711) To find a dentist, call LIBERTY Dental at 1-833-276-0847, or visit their website. Dental benefits are provided through LIBERTY Dental. Keep patients healthy and safe by becoming familiar with the tools and strategies useful in protecting yourself and patients against contagious illnesses. Provider News is your source for important news and announcements, including policy updates, prior authorization changes, new product and program offerings, and more. Our resources vary by state. Box 62947 Virginia Beach, VA 23466-2947. Check out Empire's Individual and Family plans. Services provided by HealthPlus HP, LLC, a licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Get help with mental health or substance use issues any time day or night.. 1-800-342-9871. As of January 1, 2020, you can receive Essential Plan coverage from Empire BlueCross BlueShield HealthPlus in these eight counties: Live in one of these locations? Great news! To request or check the status of a PA request or decision, log in to Availity. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. You can also visit, Prior Authorization Requirements for City of New York Employees. Your dashboard may experience future loading problems if not resolved. We look forward to working with you to provide quality services to our members. If you need help finding mental health and substance use services, call Member Services at 1-800-300-8181 (TTY 711) Monday through Friday from 8 a.m. to 8 p.m. Eastern time/Saturday from 9 a.m. to 5 p.m. Eastern time. Choose your location to get started. I am* Select If you need immediate medical assistance, please dial 911 or go to the emergency room at , Health (4 days ago) WebUnitedHealthcare Customer Service advocates are available to assist you with password resets, enhancement requests and technical issues with the website. Were available Monday through Friday from 8 a.m. to 8 p.m. and on Saturday from 9 a.m. to 5 p.m. Eastern time. Contact Request Form; Enroll; Renew; Care. Empire Managed Long-Term Care (MLTC) is designed for adults living with long-term health conditions or disabilities.. Empire provider manuals provide key administrative information, details regarding programs that include the utilization management program and case management programs, quality standards for provider participation, guidelines for claims and appeals, and more. Medicare Advantage and Duals Provider Site. HEDIS (The Healthcare Effectiveness Data & Information Set), Early and Periodic Screening, Diagnostic and Treatment (EPSDT). Our team is available 24 hours a day and can: Sydney Health is now your mobile app. Find one who meets your needs using the search tool below. Your browser is not supported. MLTC: 855-661-0002 (TTY 711) Fall is a great time of year, but also the start of flu season. You can also visit bcbs.com to find resources for other states. Are expected to need at least one (1) of the following community based long-term care services for more than 120 continuous days from the effective date of enrollment: Consumer Directed Personal Assistance Services, Hear whats happening in the MLTC Community. , Health (2 days ago) WebContact Us - MetroPlusHealth Plans for NYC Employees MetroPlusHealth Locations Pay My Premium Insurance FAQs What do MetroPlusHealth plans cover? Thats why weve partnered with many providers in your area. Call 1-855-661-0002 (TTY 711) any time, day, or night. We currently don't offer resources in your area, but you can select an option below to see information for that state. At Empire, you will have a dedicated team of nurses and social workers who will ensure that your care and services help you live as independently as possible.. Medicaid, CHPlus, Essential Plan and HARP: 1-800-300-8181 (TTY 711) List Your Practice; Find Doctors and Dentists Near You . These providers must have a valid Medicaid ID. Provider manuals and quick reference guides According to the New York Department of Healths 2015 Managed Long-Term Care Consumer Guide for NYC. 02400249 All-inclusive ancillary psychiatric, 0901, 09050907, 0913, 0917 Behavioral health treatment services, 0023 Home health prospective payment system. Phone: 1-800-450-8753 Prior authorization fax (medical): Fax: 1-800-964-3627 Behavioral health inpatient precertification fax: Fax: 1-877-434-7578 Resources that help healthcare professionals do what they do best care for our members. Providers can also use this tool to make inquiries on previously submitted PA requests, regardless of how they were sent (phone, fax, ICR or another online tool). Log in to your account and send us a message. Send us a secure message. Give your health the best shot this flu season.Find a plan pharmacynear you. At , Health (5 days ago) WebContact HealthPlus Solution today & Join our Community! Empire BlueCross BlueShield HealthPlus (Empire) is committed to supporting you in providing quality care and services to the members in our network. Services provided by HealthPlus HP, LLC, a licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. These services are voluntary and provided through your Medicaid benefit at no cost to you. Thats why you can always call our 24/7 NurseLine and speak directly to a nurse. Interested in joining our provider network? We look forward to working with you to provide quality services to our members. Health (6 days ago) WebContact Information. The Category Search is arranged by topic. Medicaid, CHPlus, Essential Plan and HARP: 1-800-300-8181 (TTY 711) * CarelonRx, Inc. is an independent company providing pharmacy benefit management services on behalf of the health plan. * Availity, LLC is an independent company providing administrative support services on behalf of Empire BlueCross BlueShield HealthPlus. Find Providers by Procedure Find Providers by Condition. Thats why we encourage all our moms-to-be to take part in our New Baby, New LifeSM program, which is a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns. This enables Empire to meet the needs of members with mental health and substance use disorders as well as those with intellectual and developmental disabilities. Already a member? Empire BlueCross BlueShield HealthPlus is the trade name of HealthPlus HP, LLC, an independent licensee of the Blue Cross and Blue Shield Association. Get answers to your medical questions any time, day or night. Complete benefit information can be found in your member handbook. We routinely update Medical Policies and Clinical UM Guidelines as part of the review process. Our Member Advisory Council meets at least four times a year, so you can: To learn more, ask your care manager about upcoming events. To find an eye doctor, call Superior Vision at 1-800-879-6901, or visit their website. Choose your location to get started. Have a question? 2021 copyright of Anthem Insurance Companies, Inc. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. Providers and staff can also contact Empire for help with prior authorization via the following methods: Empire Provider Services. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2022. We currently don't offer resources in your area, but you can select an option below to see information for that state. Access resources to help health care professionals do what they do bestcare for our members. MLTC: 855-661-0002 (TTY 711) Use our library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. All rights reserved | Email: [emailprotected], Healthplus medicaid prior authorization number, Healthcare cost in america vs other countries, Bcbs blue home unc health alliance providers, National council for mental health wellbeing, Silver summit health plan nevada medicaid. MLTC plans provide services and support to people that have a long term health problem or disability for more than 120 days. Weve provided the following resources to help you understand Empires prior authorization process and obtain authorization for your patients when its required. Customer Services for Medicare Prescription Drug plans (Part D) tel. Were always looking for ways to improve your plan. Additional support If you have a question about a previously . Coordinated services are those services that are not covered by your enrollment in Empire MLTC. Our network comprises , Health (4 days ago) WebTo contact Health-Plus Insurance Agency, Inc. directly, please fill out the following form as completely as possible. Search for different types of providers, like: *Empire HealthPlus is currently awaiting approval from the Department of Health for Medicaid products in Sullivan, Columbia, Greene, Delaware, Albany, Schenectady, Saratoga, Rensselaer, Clinton, Washington, Montgomery, Fulton, Warren, Essex and Schoharie counties. Your browser is not supported. This provider is an insurance plan that provides a Medicaid Managed Long Term Care (MLTC) product called a Medicare Advantage plan (MAP). Medical Policies & Clinical UM Guidelines: Full List on the Empire website to view or search for specific medical policies and Clinical UM Guidelines. We look forward to working with you to provide quality service for our members. You can also call your doctors office to see if flu shots are available there. If your state isn't listed, check out bcbs.com to find coverage in your area. Empire recommends that children get their flu shot at their doctors office. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. Your care manager is here to answer your questions and work with your providers to make sure that you have the right care at the right time. At Empire BlueCross BlueShield HealthPlus (Empire), we value you as a provider in our network. If you need help finding mental health and substance use services, call Member Services at 1-800-300-8181 (TTY 711) Monday through Friday from 8 a.m. to 8 p.m. Eastern time/Saturday from 9 a.m. to 5 p.m. Eastern time. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Call our 24/7 NurseLine at 1-800-300-8181 (TTY 711) Already a member? Medicare Advantage and Duals Provider Site. Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). If you have medical questions and cannot reach your care manager, you can always call our 24/7 NurseLine and speak directly to a nurse. Sydney Health is now your mobile app. . To reach your care manager, call Member . empire-blue-cross-blue-shield-healthplus-900184, Tel: We offer deep discounts and one of the largest dental networks in the nation, along with ways to customize our plans for total flexibility. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Empire BlueCross BlueShield HealthPlus is the trade name of HealthPlus HP, LLC, an independent licensee of the Blue Cross and Blue Shield Association. These providers must have a valid Medicaid ID. With Sydney, you can use your existing username and password to log in, save your member ID card, live chat with a representative, find a provider, and more. 9/1/22 Medicaid Enrollment Requirement Notice Register today: Exploring the intersection of race and . You can use the Find a Doctor toolhere to find a provider or pharmacy enrolled in Medicaid Fee for Service. Please enter a valid 5-digit Zip Code. You can get more information about the providers in our health plan. Some pharmacies offer walk-in flu shots, while others ask you to make an appointment. Medicaid, Child Health Plus or Essential Plan: Call 1-888-809-8009 (TTY 711) When you join Medicaid Advantage Plus, you must also enroll with Empire Medicare. Click on a category in the menu below to learn more about it. HEDIS (The Healthcare Effectiveness Data & Information Set), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Medicaid-Approved Preferred Drug List (PDL), Prior Authorization Lookup Tool Online for Empire. Get help with mental health or substance use issues. NY Connects is your trusted place to go for free, unbiased information about long term services and supports in New York State for people of all ages or with any type of disability. Why choose Empire? Customer , Health (7 days ago) Web1-844-305-6963 Medicare Supplement and Medicare Advantage Plans: 1-855-731-1090 (TTY/TDD: 711) please call us 8:00am - 8:00pm 7 days a week except Thanksgiving and , Health (5 days ago) WebCall our toll-free 24/7 NurseLine 1-800-300-8181 (TTY 711) MLTC members, call 1-855-661-0002 Get answers to your medical questions any time, day or night. Our Interactive Care Reviewer (ICR) tool via Availity is the preferred method for submitting prior authorization requests, offering a streamlined and efficient experience for providers requesting inpatient and outpatient medical or behavioral health services for our members. Get the mobile app. Call our toll-free 24/7 NurseLine Get help finding food, jobs, housing and other things you may need. It excludes specialized mental health services. The Keyword Search helps you find long term services and supports in your area. Sutter Health Plus Member Services is available weekdays, 8:00 am 7:00 pm at (855) 315-5800 or TTY: (855) 830-3500. You are eligible to enroll in MLTC if you: Medicaid Advantage Plus (MAP) is a Managed Long-Term Care plan for people who have both Medicare and Medicaid. You should have received a letter from us in June 2022 if you filled a prescription by a prescriber or pharmacy who was not enrolled. When you join our plan, you keep all your current Medicaid benefits. Enroll with Empire today, or call 1-844-430-1699 (TTY 711) to find out if you qualify! Interested in joining our provider network? We look forward to working with you to provide quality services to our members. Essential Plan 4; Empire Health and Recovery Plan (HARP); Gatekeeper (Formerly - Pathway Enhanced); Medicaid Advantage Plan (MAP); Pathway Priority; Your insurance is accepted at the following hospitals: NYC Health + Hospitals/Bellevue. Your care manager can assist you with getting these services. Want to learn more about our health plans? Search for up-to-date drug information, including hundreds of brand-name and generic medications. MLTC: 855-661-0002 (TTY 711) Its an easy way to get care for you or your family anytime of the day or night without leaving home. Your care manager is here to assist you by arranging and coordinating these services for you. You can also visit, Empire Blue Cross Blue Shield to Change ID Numbers for City of New York Members, Anthem taps Paul Marchetti to lead companys overall care transformation strategy, Medicare Supplement claim error expected to be resolved by March 31, 2017, Update: Empire and South Nassau Reach Agreement. Here are some resources to help. Please update your browser if the service fails to run our website. It looks like you're outside the United States. MLTC members, call 1-800-950-7679 (TTY 711). When you need a little extra help, it can be hard to know where to go. Have a question? You either get these services through Medicare or through fee-for-service Medicaid. Enroll with Empire today, or call 1-844-430-1699 (TTY 711) to find out if you qualify! We look forward to working with you to provide quality services to our members. Starting September 1, 2022, you will need to use a prescriber and pharmacy that is enrolled with Medicaid Fee for Service. Corporate , Health (2 days ago) WebEnter your ZIP code to learn about the CarePlus Medicare Advantage plans in your area, or call us at 1-855-605-6171; TTY: 711. We work with hundreds of doctors and facilities to make getting care easy. We currently don't offer resources in your area, but you can select an option below to see information for that state. Get help with mental health or substance use issues any time day or night.. NYC Health + Hospitals/Harlem. [Business]: , 9 Pine St, 14th Fl, , , NEW YORK, NY, 10005-. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2022. Once logged in, select Patient Management | Authorizations & Referrals, then choose Authorizations or Auth/Referral Inquiry as appropriate. Pharmacy services billed with the following revenue codes always require prior authorization: Behavioral health services billed with the following revenue codes ALWAYS require prior authorization: Services billed with the following revenue codes alwaysrequire prior authorization: We look forward to working with you to provide quality services to our members. If you think you are in danger of harming yourself or others, call 911 or go the nearest emergency room. The enrollee receives both Medicaid and Medicare services from one plan. You can access the ICR from the Availity home page: Providers and staff can also contact Empire for help with prior authorization via the following methods: The Call 855-800-4683 (TTY 711) to find out more about MLTC and how to enroll with Empire. Send us a secure message, Consumer Directed Personal Assistance Services (CDPAS), Nursing home care (Institutional Medicaid eligibility rules apply), Are self-directing or have someone to make choices about their care, Need community-based long-term care services, Live in Brooklyn, the Bronx, Manhattan, Queens, Staten Island, Westchester, Nassau or Suffolk, Have a chronic illness or disability that makes you clinically eligible for enrollment, based on an assessment. Prior authorization contact information for Empire. That's why weve redesigned the provider site to make it more useful for you and easier to use. Get help with mental health or substance use issues any time day or night.. Healthcare cost in america vs other countries, Bcbs blue home unc health alliance providers, National council for mental health wellbeing, Silver summit health plan nevada medicaid, Mental health diagnostic summary example, Wellstar health system employee benefits, Strong memorial hospital employee health, 2022 health-mental.org. Youll get your Medicaid home care and long-term care services, plus your Medicare services, such as doctor visits, specialists and medicines from the plan. The location you tried did not return a result. The resources for our providers may differ between states. Medicaid, CHPlus, Essential Plan and HARP: 1-800-300-8181 (TTY 711) Phone: 1-800-450-8753; Hours: Monday to Friday 8:30 a.m. to 5:30 p.m. Fax: 1-800-964-3627; Empire Pharmacy Department Our resources vary by state. Visit a doctor 24/7 through live video using LiveHealth Online. 1-800-300-8181 (TTY 711) | MLTC members, call 1-855-661-0002 You can reach us in several ways. Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. Empire is available by phone or the Interactive Care Reviewer (ICR) via Availity 24 hours a day, 7 days a week to accept prior authorization (PA) requests.
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