Blue Medicare

 

Blue Medicare HMO

Blue Medicare PPO


Skilled Nursing Facility Admissions

 

Prior approval is required for covered skilled nursing facility admissions.

To request prior approval, please contact naviHealth representatives.

By telephone: 844-801-3686, Monday - Friday, 8:00 a.m. - 5:00 p.m., Eastern Time

By fax: 855-847-7242

Use this cover sheet to fax requests and clinical information to naviHealth.

To submit additional information via fax for a case that has already been authorized, use the following numbers.

  • Concurrent Review: 844-206-7051
  • MDS, Administrative: 844-331-4502

 

Find out more about naviHealth at http://www.navihealth.us/. Detailed FAQs regarding the prior approval process with naviHealth for skilled nursing facility care for our Blue Medicare members are also available for your reference.