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DC

AmeriHealth Caritas District of Columbia

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DE

AmeriHealth Caritas Delaware

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FL

AmeriHealth Caritas Florida

AmeriHealth Caritas VIP Care

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LA

AmeriHealth Caritas Louisiana

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MI

AmeriHealth Caritas VIP Care Plus

Blue Cross Complete of Michigan

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NC

AmeriHealth Caritas North Carolina

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NH

AmeriHealth Caritas New Hampshire

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OH

AmeriHealth Caritas Ohio

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​PA

AmeriHealth Caritas Pennsylvania Community HealthChoices

AmeriHealth Caritas Pennsylvania

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Keystone First

Keystone First Community HealthChoices

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SC

First Choice by Select Health of South Carolina

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Medical Specialty Drugs

1199 Quick Reference Guide Summary
Resources
1199 Specialty Drug Provider Orientation Invitation
Resources
1199 Specialty Drug Provider Presentation
Resources
1199 Specialty Drug- Frequently Asked Questions
Resources
Embarc - Gene Therapy Drug Claim Submission Process
Resources
Gene Therapy Participating Providers
Resources
Q1 - 2025 1199 SEIU Benefit Funds Specialty Drug Management Master Drug List
CPT Codes
Q2 - 2025 1199 SEIU Benefit Funds Medical Specialty Drug Master Drug List
CPT Codes
Q2 - 2025 1199 SEIU Benefit Funds Medical Specialty Drug Master Drug List
CPT Codes

Medical Oncology

1199 Radiology_Chemotherapy Bundling
Resources
1199 SEIU Medical Oncology Provider Presentation
Resources
1199SEIU Benefit Funds Medical Oncology Outpatient Clinical Drug Trials FAQ
Resources
1199SEIU Benefit Funds Medical Oncology Outpatient Clinical Drug Trials Presentation
Resources
1199SEIU Fund Medical Oncology FAQ
Resources
Q1 - 2023 1199 SEIU Benefit Funds MedOnc Master Drug List
CPT Codes
Q1 - 2024 1199 SEIU Benefit Funds MedOnc Master Drug List
CPT Codes
Q1 - 2025 1199 SEIU Benefit Funds MedOnc Master Drug List
CPT Codes
Q2 - 2023 1199 SEIU Benefit Funds MedOnc Master Drug List
CPT Codes
Q2 - 2024 1199 SEIU Benefit Funds MedOnc Master Drug List.pdf
CPT Codes
Q2 - 2025 1199 SEIU Benefit Funds MedOnc Master Drug List
CPT Codes
Q3 - 2022 1199 SEIU Benefit Funds MedOnc Master Drug List
CPT Codes
Q3 - 2023 1199 SEIU Benefit Funds MedOnc Master Drug List
CPT Codes
Q3 - 2024 1199 SEIU Benefit Funds MedOnc Master Drug List
CPT Codes
Q4 - 2022 1199 SEIU Benefit Funds MedOnc Master Drug List
CPT Codes
Q4 - 2023 1199 SEIU Benefit Funds MedOnc Master Drug List
CPT Codes
Q4 - 2024 1199 SEIU Benefit Funds MedOnc Master Drug List
CPT Codes

Radiation Oncology

1199 SEIU Radiation Oncology Prior Authorization and Claims Studio Code List - Effective 01/01/2025
CPT Codes
Radiation Therapy FAQ
Resources

Cardiovascular

1199SEIU Radiology and Cardiology Claims Studio Code List - Effective 01/01/2025
CPT Codes
1199SEIU Radiology and Cardiology PA Code List - Effective 01/01/2025
CPT Codes
Contrast Agents and Radiopharmaceuticals
CPT Codes

Radiology

1199SEIU Radiology and Cardiology Claims Studio Code List - Effective 01/01/2025
CPT Codes
1199SEIU Radiology and Cardiology PA Code List - Effective 01/01/2025
CPT Codes
Contrast Agents and Radiopharmaceuticals
CPT Codes
Radiology FAQ
Resources

Laboratory Management

Laboratory Management FAQ
Resources