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Medical necessity and prior authorization timeframes
- https://www.arkansasbluecross.com/members/arhome/member-rights/transparency-in-coverage/medical-necessity-and-prior-authorization-timeframes
- Timeframes and required documentation for prior authorization requests. Requests for preauthorization of benefits should be submitted within thirty (30) days of the date of the initial diagnosis or exam. The dentist or healthcare provider or the insured must submit …
Clinical Policy: Medical Necessity Criteria - Arkansas Total Care
- https://www.arkansastotalcare.com/content/dam/centene/ar-health-wellness/policies/Ambetter/Ambetter_Clinical_Policy/AR_MP_68_Medical_Necessity_Criteria.pdf
- Medical necessity criteria and related definitions. Policy/Criteria Health plans affiliated with Centene Corporation® will use the following guidelines to make medical necessity …
Computerized Motion Diagnostic Imaging - Medical …
- https://www.aetna.com/cpb/medical/data/400_499/0432.html
- Computerized Motion Diagnostic Imaging (CMDI) Systems (Motion Diagnostics Laboratories, Hauppauge, NY) employ a dual-inclinometer and/or a long-arm goniometer …
2003 ARKANSAS DEPARTMENT OF HEALTH
- https://www.healthy.arkansas.gov/images/uploads/rules/UtilizationReview.pdf
- certified due to questions of medical necessity or appropriateness, the patient or provider will have the right to an additional review by another consulting physician of the …
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