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.