Teamsters Joint Council No. 83 of Virginia

Health & Welfare and Pension Funds

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Pre-certification

Pre-certification by Hines & Associates, Inc. is required for inpatient admissions and certain outpatient procedures listed below. To begin the pre-certifcation process online, visit www.precertcare.com

Elective Inpatient Admission

Pre-certification must be made at least 5 days preceding any elective inpatient admission. For pre-certification, call Hines & Associates. at 1-888-852-8382. 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 by Hines & Associates.

Emergency Inpatient Admission

Pre-certification must be made within 2 days of any emergency inpatient admission. For pre-certification, call Hines & Associates. at 1-888-852-8382. 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 by Hines & Associates.

Procedures Requiring Pre-certification

Pre-certification must be made at least 5 days preceding the outpatient procedures listed below. For pre-certification, call Hines & Associates at 1-888-852-8382. 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 by Hines & Associates.

  • 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.
  • Durable Medical Equipment (DME) rentals and purchases exceeding $1,000 (common examples include CPAPs and motorized wheelchairs)