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Important: The Hines & Associates online precertification tool provides a simple and efficient way to submit a precertification request. Before beginning the online submission process, it is best to gather the information required to complete the entire form. The form must be completed and submitted in a single session. For security purposes, this tool limits your internet browser’s idle time 20 minutes. If, at any time, you wish to discontinue the submission process, please be sure to close your internet browser to ensure that any data entered is no longer viewable on your computer. All information is erased on your computer, as well as on any Hines & Associates servers whenever your internet browser is closed.
Follow these simple instructions:
Hines & Associates can be reached at 800-944-9401. All applicable medical records should be submitted:
Note to providers: Hines uses Milliman Care Guidelines as UR criteria. However, if the review proceeds to a physician, other applicable standards as well as mitigating circumstances are also considered. If you have questions, please contact 800-944-9401 and ask for Kate DePinto.
Note for "Comments" below: Please list the physician and facility name (with their respective city and state) along with any additional pertinent information not included in the records being attached.