Pre-notification is required for:
Elective cardiac procedures
Cancer diagnosis or treatment (including medication)
Organ/tissue transplant services
Specialty medications (including infusions/injections given at home or in a doctor's office) require pre-notification to Navitus at 1.833.837.4306
Although pre-notification is not required for all procedures, it is requested.
Pre-notification does not guarantee eligibility or sharing.
To pre-notify or to check member or service eligibility, use our provider portal.
Electronic Options: EDI # 5935
- Eligibility (270/271)
- Bill Status (276)
- Bill Submission (837)
For technical assistance with EDI transactions, please contact Change Healthcare at 1-800-845-6592.
Mail Paper HCFAs or UBs:
PO Box 981652
El Paso, TX 79998-1652