Effective Jan. 24, 2012, FOCUS must be used prior to outpatient SPECT MPI tests. To view the official letter introducing the FOCUS tool in Delaware, click here.
SPECT MPI tests are identified by CPT codes 78451 and 78452.
Patient Look-up Change
Effective May 18, 2013, when entering the health plan member ID for a FOCUS consult, please use only the patient’s new 12 digit Highmark Delaware Unique Member Identifier (UMI) number located on each member’s new card. Prior to May 18th, each patient should receive a new ID card from Highmark Delaware.
The FOCUS system will only accept the existing 6 digit subscriber number until May 17, 2013 after which the existing 6 digit number cannot be used to lookup a patient in FOCUS. Also, the new Highmark 12 digit UMI numbers should not be used in the FOCUS portal prior to the effective date of May 18, 2013.
If a patient has not received a new member cardmust contact Highmark Delaware for assistance by calling the phone number listed on their old card.
Note: Decision Support System Numbers are only valid for 60 days.
Completion of FOCUS only provides clinical decision support and does NOT perform an eligibility check nor imply coverage for imaging services for Highmark Delaware members. Please continue to confirm member coverage and eligibility by logging on to www.NaviNet.net.
- General Questions: For general questions or technical support contact ACC FOCUS customer support at: 1-800-253-4636 ext 5445 or firstname.lastname@example.org.
- FOCUS Patient Look-up: Can’t find a Highmark Delaware member in FOCUS? Highmark Delaware can facilitate addition of members to the tool. Contact Highmark Delaware provider/customer service call center: Toll Free 800-346-6262 or 302-421-3330.