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