We are excited to announce the availability of the new Post Acute Facility Authorization Request Form for the submission of clinical documentation. This form can be accessed in the Provider Forms section of nhp.org.

As a reminder, initial and concurrent review requests must be submitted through NHPNet, the secure provider portal. Click here to view our authorization submission user guides. To support the review process, please enter clinical documentation onto the new Post Acute Facility Authorization Request Form and upload the form to the NHPNet authorization. If you are unable to upload this form to NHPNet, you may fax this to 617-586-1700.

 

 

For inpatient and outpatient surgery authorizations, the requesting provider must enter both the facility and the specialist into the Servicing Provider field starting with requests submitted on April 1, 2016. This will automatically generate separate prior authorization numbers to the facility and to the specialist, and ensure that the corresponding claims appropriately match.


As a reminder, surgical authorization requests must be submitted by the rendering specialist or facility. Surgical authorization requests initiated by the patient's Primary Care Provider (if the Primary Care Provider is not performing the surgery) will closed and will not be processed.

To support providers who submit claims correspondence via fax, NHP has a new fax number available. Corrected claims, appeals, and all other claims correspondence should be faxed to 617-526-1902. The previous fax number, 617-772-5516, is being phased out and will no longer be in service.