Today, we’ll look at what addiction treatment providers need to know about Highmark Inc, including what CPT codes require pre-certification at Highmark.
Prior authorization or precertification is required by most health insurance companies for many behavioral healthcare and addiction treatment services, and Molina Healthcare is no exception.
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 .