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  • For services that are not a covered benefit, call UMC at 1-800-479-5122 prompt #4 for authorization.
    • UMC may ask for further information on an individual basis for those requests for services not covered by BHP.
    • Requests for authorizations on services that are not a covered benefit and are not Medically Necessary will be sent directly to the President for review and determination on an individual basis.
      • The President will review each case and contact the UMC with a decision.
    • Requests for authorizations on services that are not a covered benefit and are Medically Necessary will be sent directly to the Medical Director for review and determination on an individual basis.
      • The Medical Director will review each case and contact the UMC with a decision.
    • The UMC will contact the requesting provider with the Medical Director and/or President's decision with one business day.
  • Providers may appeal a denied request for authorization.

For further information regarding authorizations, please call BHP's Utilization Management Coordinator at 1-800-479-5122 prompt #4 during normal business hours.

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Authorization Procedures

 

     
     
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