July 2019 updates to prior authorization and post service
claim edits
By AMANDA SIEGLER, Clinical Pharmacy Specialist
Security Health Plan requires prior authorization or post service claim edits (PSCE) for certain medical services, care, equipment and medications in order to ensure coverage and payment for those services. A number of requirements have been added for 2019 as we work to make sure all care, services and treatments are medically necessary. Read more for PAs and PSCEs effective July 1, 2019 .