Insurance

AETNA

Best if verified on the phone and request a fax from the automated system.

Medical Necessity Review = 25

Aetna 981106

Mertain Health

Aetna Pricing

Aetna Coresource

Aetna Trustmark

Carefirst/ BlueCross BlueShield

Local plans you can verify online. Out of state call to verify. Some plans require authorization.

Medical Necessity Review = 30.

Carefirst of Maryland

(MYY and BPZ OPAP auth after eval must be submitted online)

Carefirst Administrators

(MTX = auth required)

Carefirst BlueChoice

BlueCross Federal

(always begin with R)

Anthem BCBS

Highmark BCBS

Cigna/ASH

Best if verified online. Double check to see if they need ASH Medical Review. All plans are entered as
American Speciality Health (ASH)

Cigna Coresource

Cigna Great West

Cigna QualCare

Cigna International

EHP & US Family Health Plan

(Johns Hopkins)

Must be verified on the phone. Some plans require referrals and authorizations for visits 13-60.

Medical Necessity Review = 30.

United Health Care- Always perform a Group Check for authorization status. Best if verified online.

UHC Choice Plus

Commercial Plans only

UHC 740825

PCP Referral for 8v and then Rehab Auth Form

Oxford

UHC/ GEHA

UMR

Golden Ring

Maryland Medical Assistance

Must have either 11 digit MA# or SSN to verify. Plans must be verified beforepatients are scheduled and must be under age 21.

We do not accept the following MCO (Managed Care Organization): Priority Partners, Amerigroup, UHC Community Plan

Medicare

Must be verified on the phone. Some patients may have a secondary. Must have a referral.

Worker’s Comp/ PIP Auto Accident

Must have a valid claim #, date of injury, secondary insurance, name and contact number either the worker’s comp or auto accident.

We do no bill attorneys nor accept third party groups.

Tricare

Tricare East and Tricare for Life. Must have a referral.

In-Network Insurances