Federal Black Lung
|
| |
No |
No |
Federal Employee Program (FEP) Blue Cross Blue Shield (BCBS)
- Service Benefit Plan
- ID usually starts with an "R"
|
| |
No |
No |
Federated Insurance
- Precerts thru Encompass 866-411-2067
|
| |
No |
No |
First Health
- LVDI IS NOT IN PAR- CANNOT ACCEPT AT THIS TIME
- There is a First Health Plan called First Health Plus which is a true Medicare Supplement. LVDI is NOT in par with this plan BUT WILL accept as it follows Medicare guidelines. This is the only First Health plan we will accept.
|
| First Health Plus Medicare Supplement |
No |
No |
| First Health |
LVDI does not accept -NOT in Par |
LVDI does not accept-Not in Par |
First Priority Health
- Provider ID 820848
- Update: LVDI is now in par with First Priority effective 1/1/07. However, this is only for our facilities located in Northampton and Lehigh Counties.
- As of November 1, 2011 Providers will call NIA for prior authorization for CT'S, CTA'S and PET scans at 800-822-8757
- LVDI in Hamburg and KMI in Kutztown cannot accept this plan.
- For Precertification call 1-800-962-5353, however, form MUST also be faxed in to 570-200-6799.
- Provider Line number for any questions to call is 1-800-822-8752
- Prefix for all First Priority Health Products is YZH BUT a PCP must be listed on the Ins card. If "no PCP selected" is on card, LVDI cannot perform the services, patient only has ER benefits.
- Secondary to Medicare nothing needed.
|
| AdultBasic (YZH) |
No |
Yes-CT, CTA, PET |
| BlueCare HMO (YZH) |
No |
Yes- CT, CTA, PET |
| BlueCare POS (YZH) |
No |
Yes- CT, CTA, PET |
| CHIP (YZH) |
No |
Yes- CT, CTA, PET |
First Priority Life- BC/BS through Northeast PA
- This is a BCBS plan through Northeast PA
- As of November 1, 2011 providers will need to call NIA for authorizations for CT's CTA's and PET scans. Providers will call 1-866-262-5623.
- Secondary to Medicare nothing needed
- If patient has a Blue Card plan, offices will have to have our company information entered manually, and auth will pend for facility check.
|
| First Priority Life |
No |
YES-CT, CTA, PET...see bulletin |
Fortis - (Assurant Health)
- Not Health Assurance
- John Alden Life Insurance Company
|
| |
|
|
Freedom Blue (Highmark Blue Shield)
- This is a Medicare Replacement through Highmark Blue Shield
- Requires precertification through NIA for Head, Sinus, Chest, Abdomen and Pelvis CT's, ALL CTA'S and ALL PETS
- Auth's thru NIA are not IV contrast specific
|
| Freedom Blue (Highmark) |
No |
Yes- CT (only if head, sinus, chest abd and/or pelvis), PETs and CTAs |