Pre-Notification Process
You may be wondering what a Pre-Notification is and why it is crucial to your Membership. A Pre-Notification (or Pre-Note for short) is: “A notification of a medical procedure as outlined in the Guidelines that is approved for Sharing prior to the medical procedure taking place.”
The Pre-Notification Process
Here are a few key points about this process:
- Pre-Notes ensure your medical event is eligible for sharing before your office visit or procedure. The Pre-Notification process ensures a straightforward experience for you and allows our team to work directly with your Provider before your visit.
- Pre-Notifications are required for specific medical events like surgery, MRIs, or OB/GYN services. For a complete list of medical events requiring a Pre-Notification, see the back of your Member Card or the Pre-Notification section of the Sharing Guidelines.
- Pre-Notifications must be submitted no more than 60 days before your upcoming appointment or procedure.
- You can submit a ‘Pre-Notification’ post on the ShareStream in the Member Care Portal or call us at 844-313-4999 to get the process started. Once the Pre-Notification is approved, you will receive a confirmation email.
Note: In the case of an emergency or maternity admission, a Pre-Notification must be submitted within 48 hours of admission or on the next business day after admission.
Learn more about which medical procedures require a Pre-Notification:
- Knowledge Center: What is a pre-notification?
- Pre-Notification Form
- Sharing Guidelines: Pre-Notification of Shareable Healthcare Services
If any of the listed procedures apply to you or are unsure if they might, please contact us to initiate the process before going to your Provider.