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Pat Quinn, Governor Julie Amos, Director 201 South Grand Avenue East Springfield, Illinois 62763-0002 Telephone: 1-877-782-5565 TTY: (800) 526-5812 Informational Notice Date: November 22, 2013, To:

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What is prior approval for non-emergency?

Prior approval for non-emergency is a process where certain procedures, treatments, or tests need to be approved by a health insurance company before they are carried out to ensure coverage and reimbursement.

Who is required to file prior approval for non-emergency?

Healthcare providers are required to file prior approval for non-emergency procedures on behalf of their patients.

How to fill out prior approval for non-emergency?

To fill out prior approval for non-emergency, healthcare providers need to provide detailed information about the patient, the procedure, medical necessity, and any supporting documentation.

What is the purpose of prior approval for non-emergency?

The purpose of prior approval for non-emergency is to ensure that the proposed procedure is medically necessary, appropriate, and covered by the patient's health insurance plan.

What information must be reported on prior approval for non-emergency?

Information such as patient demographics, medical history, diagnosis, proposed procedure, healthcare provider information, supporting documentation, and any other relevant details must be reported on prior approval for non-emergency.

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