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AHIN:
Advanced Health Information Network (AHIN) for determining eligibility, claim status,
correcting errant claims and submitting new claims. Providers who are interested
in this service should view our online AHIN demo and link
to enrollment information.
Authorization Information for Radiological Services for Texas Providers:
Prior authorization information regarding outpatient diagnostic imaging procedures.
Authorization Information for Radiological Services for Arkansas Providers:
Prior authorization information regarding outpatient diagnostic imaging procedures.
Claims Filing Guide: Information about filing claims.
Electronic Data Interchange (EDI): A resource for physicians
and other providers of professional health-care services in assessing options for
meeting the Health Insurance Portability and Accountability Act (HIPAA) transactions
and code-set requirements and for completing testing necessary for the submission
of claims in the HIPAA-mandated format.
Forms for Providers: A section that links to miscellaneous
forms for medical providers.
Pharmacy Search: A network of pharmacies
participating in the Caremark Health Systems, Inc. managed pharmacy network.
Provider Directory: Lists of physicians,
hospitals and other health-care providers participating in the USAble Life Connect
PPO network.
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National Provider Identifiers (26 KB PDF): Information regarding the National Provider Identifier (NPI) process and the deadlines.
Provider Directory:
Lists of physicians,
hospitals, pharmacies and other health-care providers
participating in the USAble Life Connect PPO network.
Three Tier Formulary (2836 KB PDF): Printable medications list showing the most common generic, preferred and third-tier drugs and those that require prior authorization.
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