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HEALTHFIRST – IMPORTANT AUTHORIZATION CHANGES
Regulatory updates

Healthfirst has contracted with OrthoNet, a provider-based benefit management company that offers a broad range of administrative and medical management services. 

Effective June 1, 2018, OrthoNet will be responsible for utilization management services for all peripheral vascular surgical procedures provided to Healthfirst members.

OrthoNet will begin accepting prior authorization requests on May 21, 2018 for procedures performed on or after June 1, 2018.

After June 1, 2018, all peripheral vascular surgical procedures for Healthfirst members will require preauthorization through OrthoNet, by phone or fax, at the appropriate number below.

Providers can also submit prior authorization requests through the OrthoNet web portal.

Issues schedule

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Insights
April 2018