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UNITE HERE HEALTH Prior Authorization Update: UHH Group #76141 (Atlantic City)

Effective March 1, 2021, the list of procedures/services requiring prior authorization (PA) for members enrolled in UNITE HERE HEALTH (UHH) Group #76141 - Atlantic City will change.

  • The currently posted list of procedures/services requiring PA for members enrolled in this particular UHH group will apply for all services provided through February 28, 2021.
  • For services provided March 1, 2021 and later, the PA list for members enrolled in the UHH Atlantic City group will mirror the identical PA lists for UHH members enrolled in the New York and Food Service Plan groups.

The list of procedures/services requiring PA for the UHH Atlantic City group will be updated online on March 1, 2021.

For information about UHH member benefits, please access the Benefits & Eligibility tool within NaviNet or call Physician Services at 1-800-624-1110 or Institutional Services at 1-888-666-2535.


SUBMITTING PA REQUESTS
Most PA requests can be submitted online. Simply log into NaviNet.net and select Horizon BCBSNJ from the My Health Plans dropdown. Select Referrals and Authorization, and then select Utilization Management Requests.

As noted on the online PA lists, certain services require PA through business partners working on our behalf.

We encourage all providers to review this information to ensure that PA is obtained where necessary to avoid delays in claim processing.

Published on: January 28, 2021, 21:26 p.m. ET
Last updated on: January 27, 2021, 06:42 a.m. ET