Provider Tools

PROCESS TUTORIALS

CareCore National Provider Overview >>
Myocardial Perfusion Imaging (MPI) Training Module >>
Provider Phone Submission Process >>
Provider Fax Submission Process >>
CareCore National's Enhanced Website Now Provides Real Time Authorization Clinical Certification >>
Authorization how-to guide >>
Provider Web Submission Module >>
Online Cardiology Prior Authorization Module >>
Breast MRI Online Tutorial >>
Low Back Pain Educational Module >>
Horizon BCBSNJ Radiation Therapy Provider Overview >>
Direct Access for Providers Using MCNet >>
Sleep Management Provider Overview >>
Horizon BCBSNJ Site Registration >>
Oxford Radiation Therapy Provider Overview >>

FAX FORMS

RADIOLOGY
Generic Fax Form >>
CT/CTA Fax Form >>
MR/MRA Fax Form >>
OB Ultrasound Fax Form >>
PET Scan Fax Form >>

ONCOLOGY
Horizon Oncology BioManage Program ESA Fax Form >>

PAIN MANAGEMENT
Horizon Pain Management Fax Form>>


RADIATION THERAPY

Aetna Outpatient Radiation Therapy Program FAQ Effective 6/1/10

Physician Worksheets
To request an authorization for any diagnosis not included in the drop down list below, the provider should contact CareCore National by telephone to initiate the authorization process.

Please select the diagnosis type:
None Selected Bone Metastases Brain Metastases Breast Cancer Cervical Cancer Central Nervous System Lymphoma Central Nervous System Neoplasm Endometrial Cancer Gastric (Stomach) Cancer Head and or Neck Cancer Lung Cancer - Non Small Cell Lung Cancer - Small Cell Pancreatic Cancer Prostate Cancer Rectal Cancer

CARDIOLOGY
NEW: CareCore National to Implement Echocardiography Privileging Standards for Horizon BCBS November 30, 2009 >>
Horizon Transthoracic Echocardiography Program Effective July 1, 2009>>
Aetna Expanded Cardiology Program Effective August 1, 2009 >>
Preferred Provider Access System >>

Cardiology Fax Forms
Please select your health plan affiliation:
None Selected Aetna Health Net Oxford HIP Horizon BCBS Neighborhood Health Plan

SLEEP MANAGEMENT FORMS AND RESOURCES
None Selected Fast Facts About Sleep Apnea Understanding Sleep Apnea Understanding Options to Treat Sleep Apnea Epworth Sleepiness Scale Sleep Study Certification Request Form Training Module: Sleep Management Provider Overview Fallon Community Health Plan Sleep Management Provider Module