{"id":6732,"date":"2021-07-30T14:14:24","date_gmt":"2021-07-30T14:14:24","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=6732"},"modified":"2021-07-30T14:14:24","modified_gmt":"2021-07-30T14:14:24","slug":"prior-authorization-requirements-august-2021","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/prior-authorization-requirements-august-2021\/","title":{"rendered":"Prior Authorization Requirements &#8211; August 2021"},"content":{"rendered":"<p>Effective October 1, 2021, the following services will now require a Prior Authorization. Previously, these services were reviewed post adjudication for medical necessity and coverage under the terms of the member\u2019s plan (i.e., not cosmetic or non-covered treatment).<\/p>\n<p><a href=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/07\/pa-code.png\"><img data-recalc-dims=\"1\" decoding=\"async\" class=\" wp-image-6733 alignleft\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/07\/pa-code.png?resize=799%2C211\" alt=\"\" width=\"799\" height=\"211\" srcset=\"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/07\/pa-code.png?w=1090 1090w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/07\/pa-code.png?resize=300%2C79 300w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/07\/pa-code.png?resize=768%2C203 768w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/07\/pa-code.png?resize=1024%2C271 1024w, https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2021\/07\/pa-code.png?resize=500%2C132 500w\" sizes=\"(max-width: 799px) 100vw, 799px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Effective October 1, 2021, the following services will now require a Prior Authorization. Previously, these services were reviewed post adjudication for medical necessity and coverage under the terms of the member\u2019s plan (i.e., not cosmetic or non-covered treatment).<\/p>\n","protected":false},"author":1,"featured_media":4610,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[92],"tags":[],"class_list":["post-6732","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-provider-newsletter"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2019\/04\/doctor-laptop.jpg?fit=2290%2C1527","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-1KA","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/6732","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=6732"}],"version-history":[{"count":1,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/6732\/revisions"}],"predecessor-version":[{"id":6734,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/6732\/revisions\/6734"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media\/4610"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=6732"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=6732"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=6732"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}