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Molina
As you are aware, Affinia Health Network no longer carries a delegated credentialing agreement with any payer. Due to this, many payers have made changes to the way the credentialing / alignment process is handled for our Affinia Health Network offices. This allows for a quicker turnaround time as the “middle-man” is eliminated. The information...
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Please find attached the current Prior Authorization Matrix for Molina to be utilized for Affinia Health Network. The Prior Authorization Matrix only applies to AHN members if you participate in Affinia’s Molina contract. If offices participate with Molina through a direct arrangement, this authorization matrix will not apply to you. If you have questions, please reach...
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Molina Healthcare of Michigan (Molina) has contracted with eviCore healthcare (eviCore), an independent specialty medical benefits management company, to provide outpatient utilization management services. The new program is designed to streamline the authorization process through on-line and/or phone requests. eviCore will manage prior authorization requests for the following specialized clinical services, effective for dates of...
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