Hospitals must notify LifeWise of all inpatient admissions and discharges. Most plans require prior authorization.
For admissions or facilities that require a notification, you can notify us by signing in and using our prior authorization tool or submitting an
admission/concurrent review fax form.
For more information, call 800-596-3382, option 3.
For skilled nursing facilities:Prior authorization requirements
temporarily waived for SNF transfers
Due to the increase in COVID-19 related admissions, we’re temporarily waiving
the prior authorization requirement for skilled nursing facilities (SNFs) effective September 7, 2021, through October 31,
2021. For documentation, please provide admission notification
and discharge date via fax at 888-742-1487. Refer Premera members to a
contracted facility when possible to reduce member cost share. To find a list
of contracted SNFs, use our provider directory and search for skilled nursing.
This is not a guarantee of payment.
Claims for this admission will be paid based on benefits and eligibility in
effect at the time of service. Sign in to the provider portal to review member
benefit limits. Premera reserves the right to perform a retrospective review of
services if claims or payment discrepancies arise.
For long-term acute care hospital(LTAC), inpatient rehabilitation facility/unit (IPR), residential treatment center (RTC)Prior authorization is required instead of admission notification. You can notify us by signing in and using our prior authorization tool or submitting an admission/concurrent review fax form.
Be sure to submit medical records that support the level of care for the prior authorization request.