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 Guidelines
- Surgical Day Care (SDC) Fact Sheet
- Services Requiring Electronic Submission for Prior Authorization or Notification
- Evidence Based Clinical Information to Support a Spinal Surgery Authorization Request
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
Effective Through 12/31/12
Prior Authorization Required for DME, Medical Supplies, Oxygen Related Equipment, Orthotics and Prosthetics
Provider Payment Guidelines
For a complete listing of NHP's provider payment guidelines, click here.
For a complete listing of NHP's Bundled Codes/Services, click here.