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Pre-Notification for Health Benefits
BlueCard Members: To look up out-of-area member's prior approval/pre-notification/pre-certification/pre-service requirements, please use the Medical Policy Router.
Pre-Notification of scheduled inpatient admission is required under ALL benefit programs.
We collect clinical information pertinent to the request. The information is reviewed in conjunction with nationally recognized health care guidelines.
|Census Reporting Form||Overview of requirements and process for census reporting.|
Provider Resource Center
Fax: (802) 371-3757
|Phone - 24 hours||
Call (800) 922-8778
Providers are verbally notified of the determination of pre-notified services within three business days after obtaining all necessary information.