Get the free Centene Enterprise Authorization Fax Form - Buckeye Health Plan

OUTPATIENT Medicaid Complete and Fax to: NE Region 18665290290 SW Region 18665290291 EC Region 18665354083 NW Region 18665354084 Central Region 18553395145 Medicare 18778616722 Prior Authorization

How to fill out centene enterprise authorization fax

How to fill out centene enterprise authorization fax:

1. Start by obtaining the centene enterprise authorization fax form. This can usually be found online on the centene website or by contacting their customer service.
2. Fill in the top section of the form with your personal information as the requester. Include your name, contact information, and any relevant identification numbers or member IDs.
3. In the next section, provide the recipient's information. This could be a specific department or individual within centene that you are authorizing to access your information.
4. Look for the authorization section of the form. Here, you will need to indicate the specific information or actions you are authorizing centene to perform. This could include medical records access, claims information, or any other relevant data.
5. Next, carefully review the terms and conditions, if any, provided on the form. Make sure you understand and agree to the terms before proceeding.
6. Sign and date the form to indicate your consent and authorization. Some forms may require a witness or notary, so be sure to follow any additional instructions provided.
7. Make a copy of the completed form for your records before sending it to centene. This way, you have a copy of the authorization for future reference if needed.

Who needs centene enterprise authorization fax:

1. Healthcare providers: If you are a healthcare provider who needs access to a patient's centene enterprise information, you may need to submit an authorization fax to gain access to the necessary records or data.
2. Centene members: As a member of centene, you may need to authorize certain individuals or departments within the organization to access your personal or medical information.
3. Caregivers or legal guardians: If you are a caregiver or legal guardian of a centene member, you may need to complete the authorization fax on behalf of the individual in your care, granting permission for centene to share their information with specific parties.

Overall, the centene enterprise authorization fax is necessary for individuals or entities who require access to centene member information and need to establish legal consent for such access.

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