Provider Information
USFHP has the following resources for providers:
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Important Pharmacy News |
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Important Utilization Updates Utilization Update, effective 2/18/10 |
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US Family Health Plan Benefits To find out whether a healthcare service is a covered US Family Health Plan benefit, click here. |
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Provider Manual Provider Manual |
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Provider Newsletter Fall / Winter 2009 Summer 2009 Winter / Spring 2009 Fall 2008 Summer 2008 Winter 2007 / 2008 Spring / Summer 2007 Winter 2006 / 2007 |
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Maxor Newsletter April 2009 |
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Member Eligibility / Claim Status To check Member Eligibility, Claims Status or Authorization Status (via the internet using E Power) click here, or via our Fax Recall System by dialing 212-868-9447. |
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Provider Quick Reference Guide To print the Provider Quick Reference Guide (PDF document), click here. |
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Outpatient Referral Form
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Utilization Management
Contact our utilization review department at 866-390-0933 (phone) or 866-813-1722 (fax) to precertify ALL services except outpatient PT and OT. |
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Behavioral Healthcare Contact Health Integrated to pre-certify services, or to obtain a listing of behavioral health providers at 866-390-0933. For more information on Health Integrated visit their website at www.healthintegrated.com |
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Apria Contact Apria at 800-294-2275 for most non-customized DME, ambulatory assistive devices, home oxygen and home respiratory equipment. |
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Labcorp All lab work should be referred to Labcorp with the exception of In-office Stat Procedures. For a listing of allowed In-office Stat Lab Procedures, click here. To obtain a listing of Labcorp Patient Sevice Centers contact Labcorp at 800-788-9091, or visit the Labcorp web site at www.labcorp.com. |
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Physical Therapy/ Occupational Therapy To precertify outpatient PT/OT services contact Orthonet at 800-401-0062. For more information on Orthonet, visit their website at www.orthonet-online.com. |
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Pharmacy To download information on pre-authorization requirements, click here. To download information on Categories of Prescription Drugs with Quantity Limits, click here. To down load a list of injectables, which require pre-authorization and are available from Maxor Mail Order, click here. To download information on Tier 3 (Non-formulary brand name medications), click here. To download information on TRICARE Uniform Formulary exclusions, click here. To download the Brand Name Request form (providers only), click here. To download the Quantity Override Request form (providers only), click here. For additional pharmacy information, contact Maxor Plus at 800-687-0707 or visit their web site at www.maxor.com. |
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Claims and Billing Information
US Family Health Plan at SVCMC PO Box 830745 Birmingham, AL 35283-0745 |
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