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() PRIOR AUTHORIZATION FORM Coverage Criteria: ? Indicated for treatment of patients diagnosed with Kit Positive undetectable and/or metastatic malignant gastrointestinal stromal tumors (GIST). ?
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What is prior approval coventry form?
Prior approval coventry form is a form that needs to be submitted for obtaining prior approval from Coventry for certain activities or procedures.
Who is required to file prior approval coventry form?
Any individual, organization, or healthcare provider who wants to receive prior approval for specific activities or procedures from Coventry is required to file the prior approval coventry form.
How to fill out prior approval coventry form?
To fill out the prior approval coventry form, you need to provide all the required information accurately and completely. The form usually includes sections for personal or organizational details, details about the activity or procedure requiring prior approval, and any supporting documentation or evidence.
What is the purpose of prior approval coventry form?
The purpose of the prior approval coventry form is to ensure that Coventry has reviewed and approved specific activities or procedures before they are carried out. This helps in managing costs, ensuring appropriateness and quality, and avoiding unauthorized or unnecessary services.
What information must be reported on prior approval coventry form?
The specific information required on the prior approval coventry form may vary depending on the nature of the activity or procedure. Generally, it may include details such as patient information, healthcare provider information, diagnosis, medical necessity, proposed treatment plan, and any supporting documentation.
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