Policies and Guides

Legal Compliance Policies

• Compliance Hotline Policy
• Fraud Reporting & Whistleblower Protections Policy
• Non-Retaliation for Reporting of Compliance Violations Policy

Radiology Management Program

• Prior Authorization Codes for High-tech Radiology Services

Prior Authorization

• Prior Authorization Guidelines
• Services Requiring Electronic Submission for Prior Authorization or Notification

To reach our afterhours coverage for urgent authorization or care management needs which cannot wait until the next business day, please call us at 1-800-432-9449 and follow the prompts.

Prior Authorization Exemptions for DME, Orthotics & Prosthetics

• Prior Authorization Exemptions

Provider Payment Guidelines

For a complete listing of NHP's provider payment guidelines, click here.