CODE SEARCH RESULTS – Humboldt IPA

Please note that these authorization requirements apply to in-network providers and facilities only. All services rendered by out of network providers and facilities require prior authorization. For a list of in-network provider click here.

[insert_php]
$search=$_POST[‘search’];
$metode=$_POST[‘metode’];
$hp=$_POST[‘hp’];

if((isset($_POST[‘hp’])&& $_POST[‘hp’]==”NONE”)or trim($_POST[‘hp’]==”))
$errMsg = “

You must select a health plan from the dropdown box.

Go back and try your search again.

“;
else
{

// display what the person searched for

$hostname = “localhost”; // The HDNFMC DB server.
$username = “hdnfmc_cptlookup”; // The username you created for this database.
$password = “gx23rd”; // The password you created for the username.
$usertable = “cpt_2008”; // The name of the table you made.
$dbName = “hdnfmc_cpt”; // This is the name of the database you made.

$db = mysqli_connect($hostname, $username, $password) OR DIE(“DB connection unavailable”);
mysqli_select_db ($db, “$dbName”) or die( “Unable to select database”);//error message (not found message)begins
$XX = “

No Record Found for “.$search.”, to search again please go back to the search window

“;
//query details table begins
switch ($hp)
{
case “CALC”:
$hpauth= “CALCReq”;
$searchCriteria = “Health Plan: Anthem”;
break;
case “HBS”:
$hpauth= “HBSReq”;
$searchCriteria = “Health Plan: Blue Shield”;
break;
case “BLAKE”:
$hpauth= “BLAKEReq”;
$searchCriteria = “Health Plan: Blue Lake Rancheria”;
break;
default:
$hpauth= “None”;
$searchCriteria = “Health Plan: None”;
}

echo “

“.$searchCriteria.” (To start a new search, go back to the search window)

“;

$query = “SELECT CPT,Description,”. $hpauth . ” AS Auth FROM cpt_2008 WHERE $metode LIKE ‘%$search%'”;
//print(“
“.$query);
//$query = “SELECT * FROM cpt_2008 WHERE $metode LIKE ‘%$search%'”;

$rs = mysqli_query($db, $query);
while($row = mysqli_fetch_row($rs))

{
$variable1=$row[“CPT”];
$variable2=$row[“Description”];
$variable3=$row[“Auth”];
$variable4=$row[“Comment”];

$variable1=$row[0];
$variable2=$row[1];
$variable3=$row[2];
$variable4=$row[3];

if (strstr($variable3, ‘Requires’)) {
$variable3.=” (Submit Authorization)“;
}

//table layout for results

print (“

“);
print (“

$variable1

“);
print (“

$variable3

“);
print (“

$variable2

“);
print (“

“);

print (“

“);
print (“

$variable4

“);
print (“

“);

}
//below this is the function for no record!!
if (!$variable1)
{
print (“

$XX

“);
}
//end
} //no health plan entered
if (isset($errMsg))
echo $errMsg;

[/insert_php]

Providers must confirm with the health plan that the members health plan coverage is still in effect within 5 days before the actual date of service. The health plan reserves the right to revoke this authorization prior to services being rendered based on cancellation of the members eligibility.

Final determination of benefits will be made after review of the claim for and in light of medical necessity requirements and other limitations or exclusions.