Posted on December 23, 2021
Services requiring authorization, including same-day services: As a reminder, when caring for our members and during a course of treatments, it is important to know what services are covered under the member’s benefit plan, as well as what services require authorization. When services are performed that are not covered nor approved, including those provided on the […]
Posted on January 24, 2018
Dear Providers – As a friendly reminder, Health New England requires prior authorization before prescribing short-acting opioids through OptumRx. This has been in effect since January 1, 2017. You can access the following medication request form to request authorization here. This form can be faxed directly to OptumRx at 1-800-550-9246.
Posted on January 4, 2016
This is a reminder from our November 2015 mailing that, beginning 01/01/2016, Nuclear Cardiology Studies performed in an outpatient hospital setting will now require prior authorization. Prior authorization must be obtained from eviCore (formerly MedSolutions) prior to services being rendered. For more information, please contact Health New England Provider Relations at (413) 233-3313 or (800) […]
Posted on October 26, 2015
Beginning 01/01/2016, Nuclear Cardiology Studies performed in an outpatient hospital setting will now require prior authorization. Prior authorization must be obtained from eviCore (formerly MedSolutions) prior to services being rendered. For more information, please contact Health New England Provider Relations at (413) 233-3313 or (800) 842-4464, ext. 5000.