New Jersey Auto Reform
Please print and complete the treatment plan form (from the link below), which must be submitted for precertification requests. Please fax the completed form, along with a copy of the patient’s most recent/appropriate progress notes, supporting medical documentation, and the results of all diagnostic testing relative to the requested services, to the Hoover Precertification Department, at 570.283.1637.
If you have any questions, please call us at 1.877.704.4440, or email us.
Click the Link to Download: NJ Auto Attending Provider Treatment Plan Form.
Click on the Link to Download: Decision Point Review Precertification Program Description and Summary