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PRIOR AUTHORIZATION REQUEST FORM EOC ID: EIC Prior Authorization r phone: 866-250-2005 Fax back to: 877-503-7231 r ENVISION RX OPTIONS manages the pharmacy drug benefit for your patient. Certain requests
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EIC prior authorization is a process where a healthcare provider must obtain approval from a health insurance company before a specific service or treatment is provided to a patient.
Healthcare providers are required to file EIC prior authorization before providing certain services or treatments to patients.
To fill out EIC prior authorization, healthcare providers need to submit the necessary information and documentation to the health insurance company for review and approval.
The purpose of EIC prior authorization is to ensure that the services or treatments being requested are medically necessary and appropriate for the patient.
Healthcare providers must report information such as patient demographics, medical history, diagnosis, proposed treatment, and supporting documentation.
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