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Visit go. covermymeds. com/OptumRx to begin using this free service. Please note All information below is required to process this request. OptumRx has partnered with CoverMyMeds to receive prior authorization requests saving you time and often delivering real-time determinations. Mon-Fri 5am to 10pm Pacific / Sat 6am to 3pm Pacific Products Prior Authorization Request Form DO NOT COPY FOR FUTURE USE. FORMS ARE UPDATED FREQUENTLY AND MAY BE BARCODED Member Information required Provider...
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How to fill out moderate to severe pain

01
Identify the level of pain as moderate to severe using a pain scale.
02
Consult with a healthcare professional to discuss the best approach for managing moderate to severe pain.
03
Follow the prescribed medication regimen, including dosage instructions and frequency.
04
Prioritize rest and relaxation to help alleviate the pain.
05
Apply ice or heat to the affected area as recommended by the healthcare professional.
06
Implement stress-reducing techniques such as deep breathing exercises or meditation.
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Engage in gentle exercises or stretching under the guidance of a healthcare professional.
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Avoid activities or movements that worsen the pain.
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Maintain regular communication with the healthcare professional to track the progress and make any necessary adjustments to the pain management plan.
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Incorporate alternative therapies such as acupuncture or physical therapy, if recommended.

Who needs moderate to severe pain?

01
Individuals experiencing chronic or acute injuries
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Patients post-surgery
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Individuals with certain medical conditions such as fibromyalgia, arthritis, or cancer
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People with severe migraines or headaches
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Individuals with dental or oral pain
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Moderate to severe pain is defined as a pain level that significantly affects one's ability to function and perform daily activities.
Patients who are experiencing moderate to severe pain and seeking medical treatment may be required to report their pain levels.
Patients can fill out a pain assessment questionnaire provided by their healthcare provider to report their levels of moderate to severe pain.
The purpose of reporting moderate to severe pain is to help healthcare providers understand the level of discomfort a patient is experiencing and to provide appropriate treatment.
Patients may be required to report the location, intensity, duration, and frequency of their moderate to severe pain.
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