If Dean Health Plan is closed and prior authorization is not possible, when must I notify the Managed Care Division of my outpatient emergency?
A. In most cases you will not need to notify our Managed Care Division of emergency outpatient care in advance. If you have an emergency procedure or admission that requires approval, you are required to contact us the next business day. Follow-up treatment after emergency care is also subject to the prior authorization requirements.
Related Questions
- What is the responsibility of the purchaser if the Division fails to timely notify the purchaser of the possible claim and escrow amount requirement?
- How does NMHPA affect prior authorization or pre-certification for a hospital stay in connection with childbirth?
- Is it possible to obtain growth hormone prior to obtaining authorization?
