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SUPERIOR VISION SERVICES, INC. Non-Elective / Medically Necessary Contact Lens Benefit Claim Reimbursement Predetermination Form Fax to: (916) 8596261 Todays Date: DOS: Insureds Name: I.D.# Patients
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Consult with your healthcare provider to determine if the non elective medical procedure is medically necessary.
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Non elective medically necessary refers to medical treatments or procedures that are considered essential for the patient's health and well-being, and cannot be postponed or delayed.
Healthcare providers or facilities are usually required to file non elective medically necessary claims with the patient's insurance company.
To fill out non elective medically necessary claims, healthcare providers need to provide detailed information about the treatment or procedure, including the medical necessity and urgency of the situation.
The purpose of non elective medically necessary is to ensure that patients receive timely and essential medical care without delays or obstacles.
The information that must be reported on non elective medically necessary claims includes the patient's medical history, the diagnosis, the treatment or procedure being requested, and the medical necessity.
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