New Preauthorization Matrices

New Preauthorization Matrices

To streamline our authorization process, we updated the look and feel of the FirstCare Preauthorization Requirements Matrix effective May 1, 2013.  This information is also available by logging in to the FirstCare Provider Portal.  Click on “Preauthorization Lists” on the right hand side of the page to view the matrices.  The format has changed and we’ve added more information, including:

A comprehensive, searchable listing of services that require authorization -- multiple product requirements are now in a single location for easier reference.  You can search the matrix using a key word or a procedure code by pressing Ctrl+F.
Service codes and their descriptions are now grouped into easy-to-read service categories.
Authorization requirements for DME are listed by procedure code on a comprehensive DME matrix.

As always, thank you for your time and cooperation. We hope you find the improved format helpful in delivering quality care to our members. If you have any questions or concerns, please contact your Provider Relations Representative or customer service at 1-800-884-4901.

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