New Century Health (NCH)

Health Net has contracted with New Century Health (NCH), an oncology benefit management company, for radiation oncology benefit management. 

The program includes management of non-emergent outpatient and surgical radiation oncology services through prior authorization. This program is consistent with industry-wide efforts to ensure clinically appropriate quality of care and utilization of these services.

Health Net oversees the NCH program and is responsible for claims adjudication. NCH manages non-emergent outpatient and surgical radiation oncology services through contractual relationships with free-standing facilities.

Prior authorization is required for the following procedures:

• Gynecology Oncology
• Hematology Oncology
• Medical Oncology
• Neuro Oncology
• Pediatric Oncology
• Radiation Oncology
• Surgical Oncology
• Urology

KEY PROVISION:

Providers rendering these services should verify that the necessary authorization has been obtained. Failure to do so may result in non-payment of your claim.

Go to the NCH website for more information.