utilization management

Top 5 Addiction Treatment Diagnosis Codes to Use for URs with Healthfirst Insurance

There is no “best” addiction treatment diagnosis code (or ICD-10 code) to use when completing URs or authorizations with Healthfirst. All behavioral health diagnosis codes are subject to more or less the same utilization management decision making criteria at Healthfirst.

Understanding Addiction Treatment Discharges and Discharge Rules at Horizon Blue Cross Blue Shield of New Jersey

In network providers as well as out of network providers must complete a discharge plan before engaging patients in many addiction treatment services at Horizon Blue Cross Blue Shield of New Jersey.

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?