Aetna
HMO – NIA Pre-Cert
for nuclear (78465)required
Aetna Medicare – NIA
Pre-Cert for nuclear (78465)required
Aetna – All
other plans – NIA Pre-Cert for
nuclear (78465)required
NIA 1-800-642-7597
AmeriHealth HMO – AIM Pre-Cert
for nuclear (78465) required
AmeriHealth Medicare– AIM
Pre-Cert for nuclear (78465) required
AmeriHealth PPO– AIM
Pre-Cert for nuclear (78465) required
AmeriHealth Administrators – AIM
Pre-Cert for nuclear (78465) required
Independence Blue
Cross – AIM Pre-Cert for nuclear
(78465) required
AIM 1-800-227-3116
Blue Cross of Delaware – All products (IPA,POS,TRAD,AUTO,FED) – No
referral
BeechStreet PPO – no referral
Blue Cross of Maryland – All Products (PPO,Carefirst) – No
referral
Coventry /All Products -
Pre-Cert required for nuclear(78465)
Pre-Cert # 1-800-727-3351 option 6
Cigna – No referral
Accordia/Perdue – Referral
required
Devon PPO – No referral
Delaware Phys Care – No referral
Diamond State Partners –No
referral
First Health – No referral
Healthnet- Referral required
Keystone Health Plan – Referral
required
MAMSI Optimum Choice – Referral
required
Medicaid – no referral
MultiPlan
PPO – No referral
PHCS – No referral
PMG Select – No referral
Medicare Part B- No referral
Railroad Medicare – No referral
Oxford – Pre-Cert Required
Sterling – No referral required
United Healthcare – Pre-Cert
for nuclear (78465)
Pre Cert # 1-877-842-3210
UMWA –No referral
Medicare Complete – no referral
Medicare Managed Care – Check
card for referral rules
Unison Healthcare of DE – Pre-Cert for nuclear(78465)
Pre Cert # 1-800-366-7304
Bravo Elder Health/Liberty Plan – Nuclear
studies need referral |
