The Workflow Navigator is intended to help providers quickly get to the right section on a payer website for pre-service or admission notification information. With increasing pre-service demands, providers are finding it challenging to work across multiple payer websites and quickly access the needed information. OneHealthPort developed this tool in partnership with the Pre-Auth Work Group. OneHealthPort will continually update this information based on payer information and provider feedback.
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Select the health plan and type of information you need, and then click Submit.
Service Category Definitions
Services covered under a member’s medical benefit
Services related to radiological studies
Services addressing the behavior and/or mental health of a patient
Medications covered under a member’s pharmacy benefit
Carved Out Service
This is provided by an outside service.