New in 2020: Prior Authorization with eQHealth
January 15, 2020
eQHealth Solutions is the new vendor partner that is providing utilization management services for Ascension SmartHealth beginning Jan. 1, 2020. eQHealth has a portal to submit prior authorization requests which allows for immediate authorization in certain cases when criteria is met based on clinical documentation provided. In addition, the portal will provide immediate notification if the request does not require prior authorization.
All prior authorization requests can be submitted via the portal including
● high tech radiology,
● durable medical equipment, and
● other services that require precertification.
A full list of services that require prior authorization can be found here.
If prior authorization is not obtained for a service that requires precertification, including inpatient admissions, payment for the service may not be approved.