Authorization Policies for Preferred Medical Plan

Health Provider Website: http://www.pmphmo.com/
Accepted Health Plans: HMO

Does the diagnostic service require prior authorization?

MRI: YES
CT Scans: YES
PET: YES
X-rays: YES
Polysonograms: YES
Ultrasounds: YES
Physical Therapy: No Benefits
Occupational Therapy: No Benefits
Audio Evaluation: YES
Audio Evaluation: YES
Speech Evaluation: No Benefits
Feeding and Swallowing Evaluation: No Benefits




Contact Us

The Authorization Unit can can contacted at 786-624-3022 as well as Managed Care at 305-669-5834 for further clarification.


Please note that some non-employed physicians and credentialed medical staff members of Nicklaus Children's Hospital may not accept all of the health plans listed above. Also note that participation in these plans is not a guarantee of payment or coverage.

This page was last updated on : 9/12/2019 11:50:29 PM.