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Special Bulletins/Mailings

2009 Mailings

Radiology Imaging Updates for Ordering and Performing Providers effective March 2010

Radiology Privileging Breast MRI Addendum

Clarification on Seasonal Flu Shots administered to Medicare Advanatage Members

Procedure Code H0032 Requires Prior Authorization Effective 11/15/09

HBS Removes 188 Procedure Codes Requiring Authorization effective November 15, 2009

4th Quarter Formulary Updates December 2009

4th Quarter Highmark Medicare-Approved Formulary 11/09

3rd Quarter Highmark Medicare-Approved Formulary 10/09

Correction to Procedures Requiring Authorization Effective 7/1/09

Updated Authorization Requirements Effective 7/1/09

Updated List of Codes Requiring Authorization Effective 7/1/09

Obervation and Member Cost Sharing

2nd Quarter Highmark Medicare-Approved Formulary 6/09

Updated Authorization Requirements Effective 4/05/09

Medicare Advantage - Medical Necessity Claim Denials

Professional Privileging Application

Injectible Drug Program Changes Effective 4/06/09

Update Highmark Medicare Approved Formulary 3/09

2009 Medicare Advantage PPO Network Sharing 2/09/09

4th Quarter Highmark Medicare-Approved Formulary

Record Retention Requirements 01/09