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Are there out-of-network procedures that don’t require prior authorization?

April 26, 2017Authorization don’t out-of-network prior procedures require

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Are there out-of-network procedures that don’t require prior authorization?

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Generally, we do not require prior authorization for outpatient procedures done at an out-ofnetwork hospital for members who have out-of-network benefits. However, members’ costs are likely to be significantly higher for such services received at Moses Cone once the cancellation is in effect.