
Get the free 2012 General Prior Authorization Fax Form - Aetna Medicare
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AETNA HOSPICE FORM TO REQUEST EXCEPTION TO PAY UNDER PART D PLEASE FAX COMPLETED FORM TO: 1-800-408-2386 Can also mail to: 300 Highway 169 South Suite 500, Minneapolis, MN 55426 Patient Name: Member
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What is general prior authorization fax?
General prior authorization fax is a form that is used to request approval from a healthcare insurer before a certain medical procedure or treatment can be done.
Who is required to file general prior authorization fax?
Healthcare providers, such as doctors or hospitals, are required to file general prior authorization fax.
How to fill out general prior authorization fax?
General prior authorization fax should be filled out with all relevant patient and procedure information, as well as any necessary supporting documentation.
What is the purpose of general prior authorization fax?
The purpose of general prior authorization fax is to ensure that the proposed medical procedure or treatment is medically necessary and will be covered by the insurance company.
What information must be reported on general prior authorization fax?
General prior authorization fax must include patient information, procedure details, reason for the procedure, and any supporting documentation.
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