Utilization Management Protocols
• Specialty Referral
Process (protocol I) 
|
• Pre-Certification
Process (protocol III)
|
| • Clinical Laboratory
Services (protocol II)
|
• Concurrent Review
Process (protocol IV)
|
| • Use of Non-Participating
Laboratory Services (protocol II-A)
|
• Drug Prior Authorization
(PA) (protocol V)
|
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Links
• United Behavioral Health
- NHP's Behavioral Health Care services provider 
|
| • Neighborhood
Additions Program - Member Support and Education during Pregnancy
and High-risk Screening
|
| • 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
Policies, Protocols, and Administrative Guidelines
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
