Availity Portal

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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements

View requirements for Local Plan and BlueCard Out-of-Area members.

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HRA Benefit Summaries - Non-Grandfathered

PW_B150133
Lumenos PPO Consumer Driven Health Plans with Rx Copays  
Fully Insured Groups and Self Funded Groups (ASO)  

Limited Contribution Rollover Maximum Plans  
PPO CDHP w/Rx Copays GHRA222 
 
PPO CDHP w/Rx Copays GHRA224 
 
PPO CDHP w/Rx Copays GHRA226 
 
PPO CDHP w/Rx Copays GHRA228 
 
 
 
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