URs

What Reviews are Required for Addiction Treatment Providers Under Blue Cross Blue Shield of Tennessee?

Today, we’ll examine what utilization management reviews are required of addiction treatment providers working with Blue Cross Blue Shield of Tennessee plans.

Where to Find Addiction Treatment Utilization Forms for L.A. Care Health Plan 

What Utilization Forms or Utilization Reviews are Needed for Addiction Treatment Centers Working with LA Care Health Plan?

How to Handle Utilization Reviews with Blue Shield of California for Addiction Treatment

While they’ve done things like make nominal financial contributions to the cause of diversifying the mental healthcare profession, Blue Shield of California is part of a general trend in managed care to minimize costs for insurers by limiting the scope of “medical necessity,” especially when it comes to addiction treatment.

What Addiction Treatment Diagnosis Codes Should I Use for URs With Health Care Service Corporation?

HCSC has a history of denying addiction treatment claims by using overly restrictive guidelines that contradict the APA’s clinical opinion. It’s critical that you use the correct diagnosis code for every HCSC UR.