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Office of Managed Care Operations
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Quick Reference Guide |
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Telephone Guide |
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Claims Address |
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Amerihealth Website-(This link is provided for the convenience of our website visitors. UMDNJ University Hospital takes no responsibility for the information or proprietary of the web sites listed above.) |
| ELECTIVE | REQUIREMENTS |
| INPATIENT ADMISSIONS | Authorization Required, minimum notice of five business days expected |
| SAME DAY SURGERY | Authorization Required, five business days prior to surgery |
| OUT PATIENT PROCEDURE | Authorization Required . |
NOTE: Admitting Physician must call to obtain authorization @ 1-800-227-3116 (precertification). Hospital Admitting Department must call AmeriHealth prior to admission or surgery to make sure admission or surgery has been authorized.
| EMERGENCY ROOM VISIT | No Authorization or Notification Required |
| EMERGENCY ADMISSION | ER to call for pre-cert prior to admission |
| DIRECT ADMISSION | Authorization Required (24-hr notification required by Hospital) |
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MENTAL HEALTH/ADMISSION SUBSTANCE ABUSE |
See note below |
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NON EMERGENCY MENTAL HEALTH SUBSTANCE ABUSE |
See note below |
Note: For all Mental Health & Substance Abuse Admissions, please contact Magellan Behavioral Health of NJ @ 1-800-688-1911.
| REFERRAL REQUIRED-OUTPATIENT | PRE AUTHORIZATION REQUIRED-OUTPATIENT | ||||
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| AmeriHealth Hospital Services Department | (732) 726-6700 |
| Hospital Contact Director-Kathleen Sullivan | (732) 726-6782 |
| AmeriHealth Provider Services | (800) 227-3119 |
| AmeriHealth Member Eligibility HMO PPO |
(800) 821-9412 (800) 422-2457 |
| AmeriHealth Medical Care Management | 1-800-313-8625 |
| Mental Health & Substance Abuse | 1-800-688-1911 |
| Patient Care Management (HMO/PPO Precertification) | 1-800-227-3116 |
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(all information subject to change without notice) |
Last Reviewed: June 2002
All contents copyright © 1997-8
UMDNJ. All rights reserved
All information within this site subject to change without notice.
University Hospital
150 Bergen Street
Newark, NJ 07103 USA
(973) 972 - 4300