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Site of Service Criteria

Medical necessity criteria of outpatient hospital services.

requires certain procedures and advanced imaging take place in a non-hospital affiliated outpatient facility.

Aetna

Inpatient Admission Prior to Surgery

(Pre-op

Days)

-Aetna-

Anthem

Cigna

FloridaBlue

Site of Care Considerations for Select Specialty Medications

-FloridaBlue-

Humana

UHC

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