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Office of Managed Care Operations
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| Managed Care Organization | Durable Medical Equipment | Home Health Services | Department & Telephone # for Precertification | Company other than HMO to call for Precertification | ||
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Pre-auth | Pre-auth |
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Coram 1-800-992-3206 |
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Pre-auth | Pre-auth | Case Management201-946-6875 |
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Pre-auth | Pre-auth | Patient Care Management1-800-227-3116 |
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Pre-auth (1) | Pre-auth | Medical Management (1) |
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No (2) | Pre-auth | Utilization ManagementKathy Robiechaud (nurse)1-800-977-3288 |
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Pre-auth (3)Depends on contract | Pre-auth |
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Pre-auth | Pre-auth | Pre-cert Department1-888-362-3368 prompt # 4 |
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Pre-auth (4) | Pre-auth | Case Management |
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Depends on pt’s contract | Depends on pt’s contract | Pre-cert Department |
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Pre-authDepends on Patient Group | Pre-authDepends on Patient group | Case ManagementSharon Stewart1-800-237-4765 ext. 3817 |
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Pre-auth | Pre-auth | Case Management 1-800-429-4585 |
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(1) Pre-cert required for Durable Medical Equipment & Home Health Services Depends on group for HMO contact Medical Management 800-635-6626
POS & PPO call 800-626-3643 and Indemnity & Traditional Plan call 800-435-8184.
(2) No pre-cert required except for Oxygen, Hospital Beds, Wheel chairs and insulin.
(3) Pre-cert is required. Depends on type of Durable Medical Equipment, contact Pre-cert Department # on patients insurance card
(4) Pre-cert required on anything over $100 must contact case management for Pediatric Ms Londina @ 800-682-9094 ext. 190 & for Adult Ms. Danielle @ 800-682-9094 ext. 200 Any thing less than $100 require Script from Physician.
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(all information subject to change without notice) |
Last Reviewed:February 2004
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
