PRE -CERTIFICATION / REFERRAL USER GUIDE. 1 g Questions about your PRWeb account or interested in learning more about our news services? endstream endobj 245 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream ���H�)SP��33�PIS0PH�����B\ !#3=scSs��. endstream endobj 211 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream EMC endstream endobj 233 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 0 0 18 18 re 0 0 18 18 re 0.5 0.5 17 17 re �@D���)�Yo���lE;a!�.�(X���7̓���訩p���Id�>Y]8��{�x៣ ��y��$�����=����/�K�O�P���c4̸ ��> We can identify members and get them into specialty programs, such as case management and disease management, behavioral health, the National Medical Excellence Program. The Lucent Health family of companies consists of Capitol Administrators, Cypress Benefit Administrators and North America Administrators. endstream endobj 239 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream MedCerts provides job seekers with personalized, short-term online career training that leads to nationally recognized certifications and credentials in the high-demand fields of healthcare and IT. \�` ,u endstream endobj 235 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Services reviewed by HCMU should not be submitted through this site; all other services requiring precertification should continue by selecting "Next" at the bottom of the screen. /Tx BMC 0 0 18 18 re endstream endobj 178 0 obj <>/Subtype/Form/Type/XObject>>stream 1D���)�Yw�������� �)z���� �y�T���s�Riu�}a�J�M��~Xa�����ӣ���v?>hY�'ƌ$�8�h5���Zv���e�q s endstream endobj 240 0 obj <>/Subtype/Form/Type/XObject>>stream 0.5 0.5 17 17 re endstream endobj 210 0 obj <>/Subtype/Form/Type/XObject>>stream Our utilization review program provides pre-authorization and medical necessity reviews that ensure members receive appropriate care while addressing opportunities for cost savings. H��� 1D���)�Yw�������� �)z���� �y�T���s�Riu�}a�J�M��~Xa�����ӣ���v?>hY�'ƌ$�8�h5���Zv���e�q EMC BlueChoice HealthPlan Automatic Approvals for . 0.5 0.5 17 17 re 0.5 0.5 17 17 re EMC The agreement brings to market a completely new style and scope of care management service. H��� 0 0 18 18 re /Tx BMC 0.75293 g EMC \�` ,u endstream endobj 227 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Lucent Health 0.5 0.5 17 17 re endstream endobj 175 0 obj <>/Subtype/Form/Type/XObject>>stream http://healthchoiceconnect.com/certification_portal_new.html, Home Health Care (Visits limited to 100 per calender year), Outpatient, Intensive Outpatient Therapy, TMS, Esketamine and ABA, Physical Medicine/Physical Therapy (Outpatient), Outpatient and Intensive Outpatient Therapy, Patient’s full name, address, and phone number, Admitting/Ordering physician’s full name, address, phone number and tax ID, Facility name, address, phone number and tax ID. /Tx BMC 0 0 18 18 re EMC f marketing(at)lucenthealth.com, Narus Health Please have the following information available before you begin: If you are experiencing technical issues with this site, please contact us at 866-270-2244. Thanks for reaching out. Questions about a news article you've read? With Lucent Health’s well-established track record in medical cost management and data analytics, and Narus’ expertise in delivering personalized care through sophisticated technology, their combination promises to provide needed support in ways that, until now, weren’t easily possible. We will be in touch shortly. /Tx BMC Learn More. endstream endobj 189 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 169 0 obj <>/Subtype/Form/Type/XObject>>stream H�AE��}�+����$�ۊv6B@�St,��AE��V�q�R9Hxu�IX_��b���[�7������a��݄ubu. We provide personalized care combining patient advocacy, skilled clinicians and advanced technology. /Tx BMC Lucent Health, a leading healthcare risk management and administrative services company, has formed a strategic partnership with Narus Health, a highly specialized, patient-centric care management company. H��� endstream endobj 165 0 obj <>/Subtype/Form/Type/XObject>>stream Unless otherwise stated, the representative will have all of the rights and responsibilities of an enrollee or party in obtaining an organization determination, filing a grievance, or in dealing with any of the levels of the grievance or appeals process, subject to the applicable rules described in 42 CFR 422 Subpart M. To meet the CMS definition of appointed representative, the member and the member’s appointed representative must both sign and date a representative form. 0 0 18 18 re 1D���)�Yw�������� �)z���� �y�T���s�Riu�}a�J�M��~Xa�����ӣ���v?>hY�'ƌ$�8�h5���Zv���e�q