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Prior authorization list for participating providers Effective January 1, 2013, Aetna Prior Authorization List for participating providers for 2013: Applies to: Aetna Medicaid and CHIP for members
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What is prior authorization list for?
Prior authorization list is a list of medical services or prescription drugs that require approval from insurance companies before coverage is provided.
Who is required to file prior authorization list for?
Healthcare providers and pharmacies are required to file prior authorization lists for their patients.
How to fill out prior authorization list for?
Healthcare providers and pharmacies must complete the necessary forms provided by the insurance company, include all relevant patient information and medical details, and submit the list for review and approval.
What is the purpose of prior authorization list for?
The purpose of prior authorization list is to ensure that the requested medical services or prescription drugs are medically necessary and appropriate, and to control costs for insurance companies.
What information must be reported on prior authorization list for?
Prior authorization lists must include patient demographics, diagnosis codes, procedure codes, and any supporting medical documentation.
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