HealthLink Utilization Management

HealthLink Pre-Certifies as a recommendation to the employer/payor that a procedure or hospitalization meets medical necessity criteria. The HealthLink Pre-Certification list is based on corporate medical policy and guidelines and focuses medical management resources on those services where they are most likely to have the greatest impact. Please review the downloadable PDF document for the current Pre-Certification list.

View HealthLink's Utilization Management guidelines.

Find Utilization Management / Pre-Certification contact information for a specific member.

Fax-back procedures make it easy for health care providers to comply with Pre-Certification requirements.

The IVR system enables contracted providers to transmit patient Pre-Certification information in a secure environment.