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Contrast On Off a a a search Go! Back to NextLevel Health Back to NextLevel Health Pre-Auth Check DISCLAIMER: Your current browser’s security settings does not allow the use of this tool. This tool requires the use of Internet Explorer 10 or Later. If you are currently using Internet Explorer as your browser and you see this message, you should try to update it or use another browser like Google Chrome or Firefox. DISCLAIMER: All attempts are made to provide the most current information on the Pre-Auth Needed Tool. However, this does NOT guarantee payment. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices. For specific details, please refer to the provider manual. If you are uncertain that prior authorization is needed, please submit a request for an accurate response Vision Services need to be verified by Envolve Vision . Dental Services need to be verified by Liberty Dental. Complex imaging, MRA, MRI, PET, and CT scans need to be verified by NIA Non-participating providers must submit Prior Authorization for all services. For non-participating providers, Join Our Network . Would this be Emergency or Urgent Care, Dialysis, FQHC, DOH, RHC or are these family planning services billed with a contraceptive management diagnosis? Services being performed in the Emergency Department or Urgent Care Center or Family Planning services billed with a Contraceptive Management diagnosis do NOT require prior authorization Yes No Types of Services YES NO Is the member being admitted to an inpatient facility (excluding Custodial Care)? serviceQuestion-0 serviceQuestion-0 Are anesthesia services being rendered for pain management or dental procedures? serviceQuestion-1 serviceQuestion-1 Are plastic surgeon services being rendered in the office? serviceQuestion-2 serviceQuestion-2 Are chiropractic services being rendered after the 12th visit? serviceQuestion-3 serviceQuestion-3 Are services, other than DME, orthotics, prosthetics, and supplies, being rendered in the home? serviceQuestion-4 serviceQuestion-4 Are hospice services being provided? serviceQuestion-5 serviceQuestion-5 This service requires prior authorization. Login Here to submit an authorization Enter the code of the service you would like to check: Auth Code Check To submit a prior authorization Login Here . © Copyright 2020 NextLevelHealth...