NICU Admissions

Posted 16 Febrero 2012 by admin & filed under newsroom, Provider News.

Effective February 1, 2012

Superior HealthPlan will review all NICU admissions delivered prior to 39 weeks to determine whether the delivery was elective or medically necessary.

If elective, we will deny the delivering physician and the facility (for both the delivery and the NICU).

We will not deny other Physicians (Anesthesisa,Neonatology) or other facilities (if the infant is transferred due to medical necessity).

If you have any questions regarding this new procedure, please contact Provider Services at 877-391-5921 (press 3).