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Provider Manual

Recent Updates

November 24, 2020

Hospital Observation Admission

https://www.securityhealth.com/providers/provider-manual/badgercare-plus/policies-and-procedures/hospital-observation-admission

Prior Authorization for Nonaffiliated Providers

https://www.securityhealth.com/providers/provider-manual/badgercare-plus/policies-and-procedures/prior-authorization-for-nonaffiliated-providers

Provider appeal and grievance policy

https://www.securityhealth.com/providers/provider-manual/family-health-center/claims-processing-policies-and-procedures/provider-appeal-and-grievance-policy

Utilization Management Timeliness Standards

https://www.securityhealth.com/providers/provider-manual/shared-content/care-management/utilization-management-for-timeliness-standards

Provider appeal and grievance policy

https://www.securityhealth.com/providers/provider-manual/shared-content/claims-processing-policies-and-procedures/provider-appeal-and-grievance-policy

Utilization Management General Information

https://www.securityhealth.com/providers/provider-manual/shared-content/utilization-management/general-information

Precertification and Concurrent Review

https://www.securityhealth.com/providers/provider-manual/shared-content/utilization-management/pre-certification-notification-and-concurrent-review-guide

Pre-certification of Hospital Admissions

https://www.securityhealth.com/providers/provider-manual/shared-content/utilization-management/pre-certification-of-hospital-admissions

November 03, 2020

Pharmacy Benefit

https://www.securityhealth.com/providers/provider-manual/family-health-center/policies-and-procedures/pharmacy-benefit

Medical Policies

https://www.securityhealth.com/providers/provider-manual/shared-content/provider-rights-and-responsibilities/medical-policies

November 23, 2020

Programs for Members

https://www.securityhealth.com/providers/provider-manual/shared-content/care-management/programs-for-members