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Forms and Resources
Medical Review Programs (eviCore healthcare)
Medical Oncology Services
Molecular and Genomic Lab Services
Radiation Therapy Services
Radiology Imaging/Nuclear Cardiology Services
eviCore's 1199SEIU Provider Page &
Prescription Program
Preferred Drug List (PDL)
The 90-Day Rx Solution
Pharmacy Prior Authorization
eviCore Medical Oncology Drug List
CareContinuum Medical Benefit Management Program
Clinical Exception Request for Brand Name and Non-preferred Drugs
Utilization Management Master Drug List
Specialty Drugs
Accredo Specialty Drug List
Limited Distribution Specialty Drug List
Utilization Management Master Drug List
Pharmacy Prior Authorization
Utilization Management Master Drug List
eviCore Medical Oncology Drug List
CareContinuum Medical Benefit Management Program
Clinical Exception Request for Brand Name and Non-preferred Drugs
Claim Submission and Billing
DME

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(646) 473-7160
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Quick Reference Guide
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Eligibility and Claims Status

Verify 1199SEIU patient eligibility, claims status and much more.

Enhancements to Eligibility & Benefits Are Here!

NantHealth and 1199SEIU Benefit Funds are excited to announce additional accumulator information for member benefits in Eligibility and Benefits is now here! Learn more.

    Enhancements Are Here!

    We are excited to announce that the following 1199SEIU Benefit Funds transaction enhancements are now available to your office on Navinet:

    • Eligibility and Benefits Transaction
    • Claim Status Inquiry Transaction

    Note to Providers

    Please keep in mind that if you have 1199SEIU E&B or 1199SEIU CSI URLs bookmarked on your web browser, they will no longer be valid. Please delete any bookmarked URLs and access the transactions via Plan Central.

    We make it easy for you to verify your 1199SEIU patient’s eligibility and claims status!

    IVR

    Our Interactive Voice Response system (IVR) is available 24 hours a day, 7 days a week. Simply call (888) 819-1199 and enter your tax ID number, the member’s ID number and date of birth. You can check an unlimited number of patients in one call.