Here’s what the actual rates of denial are with Centene when it comes to behavioral health. We’ll also look at what levels of care are most likely to be denied at Centene and why.
Every state has a different BCBSA company with different addiction treatment billing contact information. To make matters even more confusing, some states have more than one BCBSA company operating within their borders!
When it comes to addiction treatment, Aetna uses the terms precertification and preauthorization interchangeably. Aetna may also refer to this concept as Authorization, Certification, Prior authorization, or Pre-service utilization review .
