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Provider Manual

Authorization of inpatient care

Last Updated on August 29, 2018
  • Precertification is required for all elective medical and surgical inpatient admissions for Medicare Advantage members.
  • Failure to precertify an inpatient admission may result in decreased or denied coverage.
  • Notification of emergent admissions after regular business hours is required of the hospital within 24 hours or the next business day.
  • Call 1-866-688-3400, option 1 or 2, Monday through Friday 7:30 a.m. to 5 p.m. to notify Security Health Plan of an admission.
  • The frequency of concurrent review is determined by the member’s condition and severity of illness.

 

Last updated: 2/5/2018