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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Healthy Support Open Access POS Plans


Benefit Summaries (effective 1/1/2016)

GBF OAP2F 5.9K 0 6.6K 
GBF OAP2H 5K 30 6.6K 
GBF OAP2L 6K 0 6.6K 
GBF OAP14 1.5K 20D 
GBF OAP14 3K 20D 
GBF OAP14 5K 0 6.6K D 
GBF OAP14 5K 0 D 
GBF OAP15 1K 30 6.6K E 
GBF OAP15 1K 30 E 
GBF OAP15 2K 30 E 
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