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Magellan Complete Care PO Box 524083 Miami, FL 33152 Behavioral Health Outpatient Prior Authorization Request Form Initial Request Continued Care Request Additional Units Provider Instructions: Please
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How to fill out magellan out-patient prior authorization

01
Obtain the Magellan out-patient prior authorization form from the appropriate source.
02
Read and understand the instructions provided on the form.
03
Fill in the patient's personal information in the designated fields, such as name, date of birth, and contact information.
04
Provide the necessary details about the healthcare provider, including their name, address, and contact information.
05
Clearly state the reason for seeking out-patient care and the specific services or treatments required.
06
Attach any relevant supporting documentation, such as medical reports or test results.
07
Review the completed form for accuracy and completeness.
08
Submit the filled-out form and any supporting documents to Magellan using the specified submission method.
09
Keep a copy of the form and all attachments for your records.
10
Wait for Magellan to review the prior authorization request and provide a response.

Who needs magellan out-patient prior authorization?

01
Individuals who are covered by Magellan for out-patient care and require services that may need prior authorization.
02
Healthcare providers who want to ensure timely payment for the out-patient services they provide to Magellan-covered individuals.
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Magellan out-patient prior authorization is a process where approval is obtained from Magellan to cover outpatient medical services before the services are rendered.
Healthcare providers, hospitals, clinics, and other facilities are required to file Magellan out-patient prior authorization.
Magellan out-patient prior authorization can be filled out online through Magellan's provider portal or by submitting a paper form with all the required information.
The purpose of Magellan out-patient prior authorization is to ensure that the services being requested are medically necessary and appropriate for the patient's condition.
The information that must be reported on Magellan out-patient prior authorization includes patient demographics, provider information, diagnosis codes, treatment plan, and expected outcomes.
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