Sedera has updated the following sections of the Member Guidelines to reflect the most current Sedera procedures. Below is a summary of those changes:
Section 8.B.4 – Ambulance Transports are sharable as part of a need whenever medically indicated by a licensed medical doctor, and/or whenever practical due to the severity, proximity and circumstances associated with a specific illness or injury.
Section 10 – The Submission of a Need section has been updated to reflect the most current language approved by Sedera in handling Needs and Needs Processing. Please note that once you have submitted a Needs Processing Form, your Patient Advocate will then contact your medical provider to negotiate the price of the procedure if necessary.