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Reference Material

Please use these reference materials to access the codes and precertification requests you are looking for.

Select the provider manuals you are looking for from the menu. You can refer to your monthly Provider Bulletin publication for further updates to this policy and procedure manual.

The language herein, only when read in conjunction with any and all updates as provided in the provider bulletins since the date of this manual, will serve as the complete policy and procedure manual.

Select the provider form you wish to complete from the menu. These forms are to be used ONLY by physicians and/or facilities when requesting authorization for services.