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Get the free Pre-review Screening Tool based on Anthem Corporate Medical Policy DME.00019

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This document serves as a pre-review screening tool for Continuous Passive Motion devices based on Anthem Corporate Medical Policy, outlining eligibility criteria and necessary information for processing
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How to fill out pre-review screening tool based

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How to fill out Pre-review Screening Tool based on Anthem Corporate Medical Policy DME.00019

01
Review the patient's medical history and current health status.
02
Determine if the requested durable medical equipment (DME) aligns with Anthem's coverage criteria.
03
Gather supporting documentation, including physician notes and treatment plans.
04
Complete each section of the Pre-review Screening Tool accurately, providing detailed information.
05
Submit the tool along with necessary documentation for pre-review consideration.
06
Await feedback or requests for additional information from Anthem's review team.

Who needs Pre-review Screening Tool based on Anthem Corporate Medical Policy DME.00019?

01
Patients requiring durable medical equipment that may need prior authorization.
02
Healthcare providers seeking approval for DME on behalf of patients.
03
Insurance coordinators or administrative staff involved in the authorization process.
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Medical policies and clinical utilization management (UM) guidelines are two resources that help us determine if a procedure is medically necessary. These documents are available to you as a reference when interpreting claim decisions.
In a BCBS vs. Anthem cost analysis, Anthem has been found to have slightly lower monthly rates than BCBS does (although you can customize your plan with both companies to suit your budget), but Blue Cross is available in more areas and has better customer service options.
Anthem Blue Cross is a for-profit provider with benefits like lower monthly premiums and out-of-state coverage. On the flip side, Blue Shield California has better prescription coverage and added wellness benefits. They are also a nonprofit organization that reinvests in the health of California communities.

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The Pre-review Screening Tool is an assessment tool used to determine the medical necessity and appropriateness of durable medical equipment (DME) requests in accordance with Anthem's Corporate Medical Policy DME.00019.
Healthcare providers and clinicians who are submitting requests for durable medical equipment on behalf of their patients are required to file the Pre-review Screening Tool.
To fill out the Pre-review Screening Tool, providers must provide specific patient information, including patient demographics, medical history, and the requested DME details, ensuring all required fields are completed accurately.
The purpose of the Pre-review Screening Tool is to streamline the review process for DME requests and ensure that only medically necessary and appropriate equipment is approved for coverage.
The information that must be reported includes patient identification details, diagnosis codes, descriptions of the requested DME, prescriptions from the healthcare provider, and any supporting clinical documentation.
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