Providence changes joint surgery authorization requirements

Effective March 1, 2012, medical criteria contained in the online process must be met in order for the procedure to be automatically approved. Any authorizations that cannot be automatically approved will require additional medical review by Providence Health Plans.

To help lessen the impact of prior authorizations on your practice, we are implementing Clear Coverage, a fully automated Web-based system that includes decision support features. This tool is now available for your office. Call 503-574-6400 to schedule a training session.

Thank you for your support of this new prior authorization requirement. We appreciate the care you provide for our members, who are your patients. Please contact your Provider Relations representative if you have any questions.