Precertification - CATEGORIES
- Blue Cross
- Caremark
- Humana
- Medicaid Radiology PriorAuth
- Medicare Blue
- Provider Forms
- Overrides and Appeals
- Provider Drug List and Resources
Precertification - Links By Category
- Blue Cross Blue Shield of Nebraska**
Preauthorization Request Form - Blue Cross Blue Shield of Nebraska**
Primary Care Referral/Authorization Form - Blue Cross Blue Shield of Nebraska**
Proton Pump Preauthorization Criteria - Blue Cross Blue Shield**
Cardiac Rehab Preauthorization Request - Cox2 Preauthorization Form**
COX-2 Inhibitors Preauthorization Criteria for Approval - Cox 2 Fax Form Blue Cross **
COX-2 Inhibitors Preauth Physician Fax Form - BC Proton Pump**
Proton Pump Inhibitors Post Limit - BC Migraine**
Migraine Therapy Preauth Criteria - American CRC
Nonprofit, bipartisan .
- Caremark Celebrex Fax Form **
Celebrex Step Form Prior Authorization Form - Caremark Proton Pump
Proton Pump Inhibitors Post Limit /li>
- Humana Script Prior Auth Doctor
Doctor Script Prior Auth - Humana Script Prior Auth Patient
Member Script Prior Auth - Humana Provider Script Tools
Provider Script tools
- Medicaid Radiology Precert
MedSolutions Online - 1-888-693-3210 (Medicaid PreAuth)
- Medicare Blue Solution**
Prior Authorization - Medicare Blue Forms for Providers
Forms for Providers - Medicare Blue PPO
Medicare Part D Formulary or Tier Exception Physician Fax Form
- My Rx Assistant
Medicare Blue PPO Overrides and Appeals - My Rx Assistant**
Overrides and Appeals - My Rx Assistant**
Overrides and Appeals
Provider Drug List and Resources
- American Diabetic Association**
aaa - Blue Cross Blue Shield of Nebraska**
Providers and forms - Blue Cross Blue Shield of Nebraska**
Provider submit correction form. - Medicare Blue Solutions
aaaa - Nebraska Department of Health and Human Services
Division of Medicaid and Long-Term Care - Nebraska Department of Health and Human Services
Division of Medicaid and Long-Term Care - United Health Care