Prior authorization requirement changes updated effective date November 1, 2022
PA requirements will be added to the following:
- L6026: Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device
To request a PA, you may use one of the following methods:
- Availity:* Once logged in to Availity at https://www.availity.com, select Patient Registration > Authorizations & Referrals, then select Authorizations or Auth/Referral Inquiry, as appropriate.
- Fax: 800-964-3627
- Phone: 800-450-8753
Not all PA requirements are listed here. Detailed PA requirements are available to contracted providers on the provider website at https://providerpublic.empireblue.com. Contracted and noncontracted providers who are unable to access Availity may call our Provider Services at 800-450-8753 for assistance with PA requirements.
August 2022 Newsletter