Highmark Expands Preauthorization List

Posted on April 3, 2007 by Michael Cassidy
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Highmark Blue Shield has expanded its list of procedures requiring pre-authorization. The full list of procedures is available on the Highmark Resource Center website:

https://www.highmarkblueshield.com/pdf_file/rc-hbs-auth-code-update-april-2007.pdf

It includes a significant number of home health and DME services, prosthetic devices and other services. 

Highmark has also removed two procedures from the list, i.e., pharmacologic management (90862) and the new technology intraocular lens Category 3 (Q1003).

These changes will be effective April 1, 2007 and will apply to members enrolled in Select Blue, Direct Blue and Freedom Blue.

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CVS Pharmacy - March 3, 2008 2:07 AM

A very useful list. I will link to it shortly and will send it to my residency program director.

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