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Orthonet humana 2025

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The document is a Prior Authorization Request Form for spinal surgery procedures for Humana members. It provides instructions for completing and submitting the form along with necessary clinical documentation to OrthoNet. The form requires detailed provider and patient information, including diagnosis codes, procedure requests, and prior surgery history. It emphasizes the importance of confidentiality and includes contact information for assistance.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Are OrthoNet and Optum the same?

As used in this policy, terms such as we or our and Company refer to OrthoNet (an Optum company) and its current and future affiliated entities, including Optum parent company UnitedHealth Group.

What is the timely filing limit for OrthoNet?

Unless otherwise stipulated in the providers participating provider contract (with OrthoNet or the carrier, as the case may be), claims must be submitted within 90 days of the date of service.

What is the timely filing limit?

Timely Filing of Claims When Health Net is the secondary payer, we will process claims received within 180 days after the later of the date of service and the date of the physicians receipt of an Explanation of Benefits (EOB) from the primary payer.

What is the timely filing limit for health net claims?

OrthoNet is the leading orthopaedic specialty benefit management company in the United States.

What does OrthoNet do?

OrthoNet, LLC is a leading musculoskeletal management company located in White Plains, NY. They are a provider-based company with ties to leading practitioners in the Amerigroup Community Care service areas.

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