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CareAffiliate
CareAffiliate is Select Health's preauthorization tool.
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Forms and requirements for provider preauthorization.
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Prompt PA is Select Health's pharmacy preauthorization tool.
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See Colorado's yearly preauthorization reports.
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Electronic Data Transfer information for providers.
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Access Select Health Medical Policies in PDF form listed alphabetically.
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Access individual coding and reimbursement policies in PDF form.
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Monthly bulletin that outlines new, revised, and archived policies.
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Fill out the provider application to begin the credentialing process.
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Quality Provider Program
This team-based healthcare delivery model enhances health outcomes for patients.
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Our team of trained professionals helps members manage chronic or complex conditions.
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The QRT program compares provider’s scores to national standards.
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Information for providers on formularies, pharmacy tools, and other resources.
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Resources for behavioral health providers on credentialing, claims, and more.
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Our method to offset the cost of care for members with chronic health conditions.
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Learn more about our plans facilitated through government programs.
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Quarterly newsletter that includes important information for your practice.
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CareAffiliate Request Types
Download PDF of Request Types
Name of Request Type
When to Use Request Type
Clinical Questions
* Request types that display clinical questions in survey/assessment section.
Behavioral Health Inpatient
Inpatient behavioral health request for all lines of business.
Behavioral Health Intensive Outpatient
Behavioral health intensive outpatient therapy request for all lines of business.
Behavioral Health Office / Specialty
Behavioral health request for TMS, ECT, and any in offce therapy for all lines of business.
Behavioral Health Partial Hospitalization
Behavioral health partial hospitalization request for all lines of business.
Behavioral Health Residential Treatment
Behavioral health residential treatment facility request for all lines of business.
Behavioral Health Social Detox
Behavioral health social detox for all lines of business.
Chiropractic Therapy-Outpatient
Chiropractic therapy request in an outpatient setting.
DME Rental
DME rental request for all lines of business not covered by another request type.
DME Purchase
DME purchase request for all lines of business not covered by another request type.
DME Purchase CPAP/BiPAP/ASV- COMMERCIAL
CPAP/BiPAP/ASV purchase request for Commercial ONLY.
DME Purchase Wheelchair Repair
Wheelchair repair request for Commercial and Medicaid ONLY.
DME Rental Breast Pump
Hospital grade breast pump rental request for Commercial and Medicare ONLY.
DME Rental CPAP/BiPAP/ASV
CPAP/BiPAP/ASV rental request for Medicaid and Medicare.
DME Rental Wheelchair Repair- MEDICARE
Wheelchair repair request for Medicare ONLY.
Enteral Formula
Enteral formula request for all lines of business.
Eye Procedures- Ambulatory Surgical Center
Eye procedure request for all lines of business in an ambulatory surgical center setting.
Eye Procedures-Offce
Eye procedure request for all lines of business in an offce setting.
Eye Procedures- Outpatient Hospital
Eye procedure request for all lines of business in an outpatient hospital setting.
Genetic Testing
Genetic testing request for all lines of business.
Home Care-MEDICAID
Home care request for Medicaid ONLY.
Hyperbaric Oxygen Therapy
Hyperbaric oxygen therapy request for all lines of business.
Hysterectomy-Inpatient
Hysterectomy request for all lines of business in an inpatient setting.
Hysterectomy-Outpatient
Hysterectomy request for all lines of business in an outpatient hospital setting.
Infertility
Infertility request for all lines of business.
Inpatient Hospice
Inpatient hospice request for all lines of business.
Inpatient Medical/Surgical
Inpatient medical/surgical request for all lines of business not covered by another request type.
Long-term Acute Care
Long-term acute care request for all lines of business.
Office Medical/Surgical
Medical or surgical procedure request for all lines of business not covered by another request type.
Outpatient Hospice
Outpatient hospice request for all lines of business.
Outpatient Medical-Care Affliate
Outpatient medical request for all lines of business not covered by another request type.
Outpatient Surgical
Outpatient surgical request for all lines of business not covered by another request type.
Pain Interventions Offce
MBB, RFA, or facet joint injection request for all lines of business in an offce setting.
Pain Interventions Outpatient
MBB, RFA, or facet joint injection request for all lines of business in an outpatient setting.
Private Duty Nursing-COMMERCIAL
Private duty nursing request for Commercial ONLY.
Private Duty Nursing-MEDICAID
Private duty nursing request for Medicaid ONLY.
Rehab-Inpatient
Inpatient rehabilitation request for all lines of business.
Rehab-PT/OT/ST/Nursing- Home Care MEDICAID
Physical therapy/occupational therapy/speech therapy and nursing request through home care for Medicaid ONLY.
Rehab-PT/OT/ST-Outpatient
Physical therapy/occupational therapy/speech therapy and nursing request through home care for Commercial and Medicare.
Skilled Nursing Facility
Skilled nursing facility request for all lines of business.
Skilled Nursing Visits
Skilled nursing visits for Commercial only.
Spine Surgery-Inpatient
Spine surgery request for all lines of business in an inpatient setting.
Spine Surgery-Outpatient
Spine surgery request for all lines of business in an outpatient setting.
Tonsillectomy and/or Adenoidectomy-Outpatient
Tonsillectomy and/or adenoidectomy request for all lines of business in an outpatient setting.
Total Joint Replacement-Inpatient
Total knee/hip replacement or revision request for all lines of business in an inpatient setting.
Total Joint Replacement-Outpatient
Total knee/hip replacement or revision request for all lines of business in an outpatient setting.
Transplant
Transplant request for bone marrow, heart, kidney, liver, lung, or pancreas for all lines of business in an inpatient setting.
Varicose Vein- Ambulatory Surgical Center
Varicose vein procedure request for all lines of business in an ambulatory surgical center setting.
Varicose Vein-Offce
Varicose vein procedure request for all lines of business in office setting.
Varicose Vein- Ambulatory Surgical Center
Varicose vein procedure request for all lines of business in an ambulatory surgical center setting.
Varicose Vein-Outpatient Hospital
Varicose vein procedure request for all lines of business in an outpatient hospital setting.
Wound Vac
Wound vac request for all lines of business.