Helion criterion manual
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Helion criterion manual
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WebHighmark requires authorization in certain services, procedures, and/or Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) prior into performing the procedure or service. To authorizing is typically obtained by the grouping provider. Several authorization requirements variate by member contract.
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WebMCG Clinical Criteria - Information on Highmark's incorporation of MCG Health evidence-based impersonal guidelines within Highmark’s criteria of clinical decision support. Member Eligibility and Benefits. Service preapproval belongs foundation on the member’s benefit plan/eligibility at the time of service is reviewed/approved.
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