WebPRIOR AUTHORIZATION for EYELID SURGERY 07.2024 PEHP Eyelid Surgery PA Form Page 1 of 2 For authorization, please complete this form, include patient chart notes to document information and FAX to the PEHP Prior Authorization Department at (801) 366‐7449 or mail to: 560 East 200 South Salt Lake City, UT 84102. ... WebApr 11, 2024 · PEHP Health & Benefits is a division of the Utah Retirement Systems that proudly serves Utah's public employees through high quality and competitively priced medical, dental, life, and long-term disability insurance plans on a self-funded basis. ... Evaluates and determines coverage on prior authorization requests for drugs on the …
PRIOR AUTHORIZATION for MEDICAL/CASE MANAGEMENT …
Webto the PEHP Prior Authorization Department at (801) 245‐7774 or mail to: PEHP Pharmacy Services, 560 East 200 South Salt Lake City, UT 84102. If you have prior authorization questions, you may phone the PEHP Customer Service at (801) 366‐7555. Section I: PATIENT INFORMATION WebPreauthorization The following inpatient services require preauthorization by calling PEHP at 801-366-7755 or 800-753-7754: » Inpatient hospital medical admissions at Primary Children’s Medical Center. » All inpatient hospital rehabilitation admissions. » Skilled nursing facilities. » All inpatient mental health and substance abuse admissions. early symptoms of tetanus infection
Pharmacy Claims Specialist Job in Salt Lake City, UT at Utah …
WebAuthorization Department at (801) 366‐7449 or mail to: 560 East 200 South Salt Lake City, UT 84102. If you have prior authorization or benefit questions, please call PEHP Customer Service at (801) 366‐7555 or toll free at (800) 753‐7490. WebPEHP LIST OF SERVICES WHICH REQUIRE PRE‐AUTHORIZATION. Proton beam treatment Home Health Stereotactic radiation treatment delivery Hospice Virtual (CT or MRI) colonoscopy Human pasteurized milk Hyperbaric oxygen treatment DURABLE MEDICAL EQUIPMENT Intrathecal pumps See list in Master Policy Appendix A New and unproven … WebAuthorization Department at (801) 366‐7449 or mail to: 560 East 200 South Salt Lake City, UT 84102. If you have prior authorization or benefit questions, please call PEHP Customer Service at (801) 366‐7555 or toll free at (800) 753‐7490. early symptoms of syphilis in females