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Standard Specialty Prior Authorization January 2015 Therapeutic Category Anti-infectives Drug Name Quantity Limit Antifungals Antimalarial () () JULIA (efinaconazole) KERATIN (tavaborole) None, ()

How to fill out standard non-specialty prior authorization

How to fill out standard non-specialty prior authorization:

1. Gather the necessary information and documents, including the patient's name, date of birth, insurance information, and diagnosis codes.
2. Check the specific requirements and guidelines of the insurance company regarding the prior authorization process. This will ensure you understand what information and documentation are required.
3. Complete the standard non-specialty prior authorization form provided by the insurance company. Make sure to accurately fill in all the required fields, such as the patient's personal information, prescribing physician details, medication being requested, and dosage instructions.
4. Attach any supporting documentation that may be needed to justify the need for the requested medication. This may include medical records, test results, treatment plans, or clinical guidelines.
5. Submit the completed prior authorization form along with the supporting documents to the designated department or contact person within the insurance company. It is important to double-check the submission requirements and ensure you have included all the necessary information to avoid delays or rejections.
6. Follow up on the prior authorization request regularly to ensure it is being processed. If any additional information or documentation is requested by the insurance company, provide it promptly to avoid any further delays.
7. Once the prior authorization is approved, notify the patient and their prescribing physician to proceed with obtaining the prescribed medication.

Who needs standard non-specialty prior authorization:

1. Patients who have insurance plans that require prior authorization for certain medications.
2. Healthcare providers who prescribe medications that require prior authorization based on the patient's insurance policy.
3. Pharmacies or healthcare facilities that dispense medications and need prior authorization to bill the patient's insurance or obtain reimbursement.

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What is standard non-specialty prior authorization?

Standard non-specialty prior authorization is a request process that ensures a healthcare service or medication meets certain criteria before it is approved for coverage by an insurance provider.

Who is required to file standard non-specialty prior authorization?

Healthcare providers are required to file standard non-specialty prior authorization on behalf of their patients.

How to fill out standard non-specialty prior authorization?

Standard non-specialty prior authorization forms can usually be completed online or submitted via fax or mail with all required documentation.

What is the purpose of standard non-specialty prior authorization?

The purpose of standard non-specialty prior authorization is to determine the medical necessity and appropriateness of a requested healthcare service or medication.

What information must be reported on standard non-specialty prior authorization?

Standard non-specialty prior authorization forms typically require information such as patient demographics, healthcare provider information, diagnosis codes, and treatment plans.