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- Utilization Management - American Health Holding
Our clinical professionals benchmark against MCG Health’s days per 1,000, admits per 1,000 and average length of stay criteria to certify treatments Cases are continually monitored to ensure quality and appropriateness of care, and we report all never events and avoidable hospital conditions
- Online Certification Process
Click here to download our precertification prior authorization form which can be submitted with clinical information via secure email You may also request a precertification via this portal
- Prior Authorization Requests
Please contact our prior authorizations department @ 1-800-847-7605 to initiate or inquire about a request All requests will be taken by a live experienced team representative
- American Health Holding (AHH) Prior Authorization Statistics - Aetna
(8) Time between submission of an appeal and the utilization review entity’s determination
- UM - amhealthgroup. com
Client specific services for prior authorization are selected on the onset Our clinical team determines medical appropriateness utilizing evidence-based medical review criteria
- Online Certification Process
This site is provided for convenient access to CareLink's precertification services provided through American Health Holding, Inc Precertification is not a guarantee of payment All benefits are subject to eligibility, plan provisions and limitations in force at the time services are rendered
- Prior Authorization | WPS
Prior authorization list and forms for providers to receive written approval from WPS for services or products prior to being rendered
- PRECERT FORM - American Health Holding
Submit via fax to 1-866-881-9643 or submit via email to Level3@ahhinc com Name of requestor Date submitted Phone #
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