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Services

Dear Provider,

After an extensive analysis of the costs/savings and physician office/staff time spent, DAKOTACARE has decided to remove the following procedures from the pre-authorization list starting Monday, May 16th:
    Cataract Extraction
    Cardiac Catheterization
    Microdiscectomy
    Septoplasty
    Tonsillectomy and Adenoidectomy
Please note:

    There may be benefit limits or exclusions that apply to Cataract Extraction and Septoplasty procedures.

    State Employee Health Plan claims are not affected since we do not perform the Medical Management for that population. Those pre-authorization procedures presently in place will remain so for this group.
If you have any questions, please feel free to call Customer Service at 334-4000 or 1-800-325-5598. Customer Service will forward your call for those items that require Medical Management assistance.

Additional copies of the pre-authorization lists may be printed from the DAKOTACARE

Thank you for your input.

DAKOTACARE



DAKOTACARE Services to be Preauthorized - DKC_Preauth_(5-05)2.pdf DAKOTACARE Services to be Preauthorized
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DAS Services to be Preauthorized - DAS_Preauth_(5-12-05)3.pdf DAS Services to be Preauthorized
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