Teamsters Joint Council No. 83 of Virginia

Health & Welfare and Pension Funds

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Pre-certification

Pre-certification is required for inpatient admissions and certain outpatient procedures listed below.

Elective Inpatient Admission

Pre-certification must be made at least 5 days preceding any elective inpatient admission. For pre-certification, call Anthem's Healthlink at 888-852-8382.

Failure to pre-certify will result in a $500 penalty to the Fund's payment. No payment will be made for any services not authorized.

Emergency Inpatient Admission

Pre-certification must be made within 2 days of any emergency inpatient admission.

Procedures Requiring Pre-certification

Pre-certification must be made at least 5 days preceding the outpatient procedures listed below.

  • All inpatient admissions. This includes admissions for surgeries, skilled nursing facilities (for patients requiring rehabilitation from hip replacements, strokes, etc.), and treatment centers for psychiatric conditions and/or substance abuse disorders.