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Precertification Updates

February 27, 2014

We have been reviewing procedures, services and items to add to the online precertification request feature in My Insurance ManagerSM. We recently added these services.

Inpatient Procedures - Automatic Approval

You will receive an automatic authorization number when you request precertification for these inpatient services.

Arthroplasty, Total Hip Rev               Arthroplasty, Total Knee Rev     

Outpatient Procedures - Automatic Approval

You will receive an automatic authorization number when you request precertification for these outpatient services.

Arthroplasty, Total Shoulder  Arthroscopy, Knee  Breast BX - Needle Aspiration 
Breast BX - Ultrasound Guided Cheilectomy Hallux Rigidus     Excision of Morton's Neuroma
Hysteroscopy w/D & C  PEG Tube Replacement Porta Cath Removal
Removal of Internal Fixation  Tailor's Bunionectomy Tendon Lengthen/Repair Foot 
Torn Achilles Tendon Repair    

Outpatient Procedures - Approval Pending

You will not receive an automatic authorization number when you request precertification for these outpatient services. The request will be pending.

Breast Reconstruction Rev  Hyperbaric Oxygen Therapy  Hysterectomy/LAP Assisted Vaginal 
Hysterectomy/Total Lap  Hysterectomy/Total Vaginal LAP Supracervical Hysterectomy 

Please contact Provider Education for information about this bulletin at provider.education@bcbssc.com or toll free at 803-264-4730.

 

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