Utilization Management Program and Precertification
Please see your benefit booklet to determine what services require precertification under your plan.
Precertification is required for many services, including the following outpatient hospital benefits, physician benefits and other covered services. Below is the list of specific services in these categories that require precertification. This list will be updated no more than twice a calendar year. You should check this list prior to obtaining any outpatient hospital services, physician services and other covered services.