Utilization Management Protocols
• Specialty Referral
Process (protocol I) 
|
• Concurrent Review
Process (protocol IV)
|
| • Clinical Laboratory
Services (protocol II)
|
• Drug Prior Authorization
(PA) (protocol V)
|
| • Use of Non-Participating
Laboratory Services (protocol II-A)
|
• Outpatient Diagnostic Testing
(protocol VII)
|
| • Pre-Certification
Process (protocol III)
|
**Documents above require Adobe® Acrobat Reader to view. If you do not have the Acrobat Reader—or aren't sure—get the free Acrobat Reader now.
Links
• United Behavioral Health
- NHP's Behavioral Health Care services provider 
|
| • Neighborhood
Additions Program - Member Support and Education during Pregnancy
and High-risk Screening
|
| • Quality
Oncology's Cancer Page - A trusted source for the latest news,
research, and information on prevention, detection, and treatment.
|
| • Clinical
Practice Guidelines - Links to Nationally recognized sources
|
| •
Labcorp Inc. - Find the Patient Service Center most convenient
for you
|
Resources
FAQs
Frequently Asked Questions
myNHP.com Tutorials.
Learn how to View Claim Status, Check Member Eligibility, Submit/Auth
Referrals, and much more
Clinical
Practice Guidelines Links to nationally recognized sources.
Utilization Management.
Learn about the UM process at NHP
United Behaviorial Health (UBH)
The Importance of Collaboration between Primary Physicians and Behaviorial Health Clinicians.
Links
Neighborhood
Additions Program
Member Support and Education during Pregnancy and High-risk Screening
Quality
Oncology's Cancer Page, A trusted source for the latest
news, research, and information on prevention, detection, and treatment.
