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.