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Requesting preservice authorizations
A Clear Coverage users guide
Clear Coverage allows you to request authorizations
24/7 online and receive automatic authorizations for many
services and procedures
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How to fill out requesting pre-service authorizations

How to fill out requesting pre-service authorizations
01
Gather all the necessary information such as patient's name, date of birth, contact details, insurance information, and medical history.
02
Contact the insurance provider to understand the pre-service authorization process and any specific requirements they may have.
03
Obtain the necessary pre-service authorization form from the insurance company or download it from their website.
04
Fill out the form accurately and completely, providing all the required information such as the healthcare provider's details, requested services, diagnosis codes, and any supporting documents.
05
Attach any supporting documents required by the insurance company, such as medical records, test results, or referral letters.
06
Double-check the completed form for any errors or missing information.
07
Submit the filled-out form and supporting documents to the insurance company through the preferred method, which may include online submission, fax, or mail.
08
Follow up with the insurance company to ensure your request has been received and is being processed.
09
Keep copies of all submitted documents for future reference or if there are any issues with the authorization process.
10
If the pre-service authorization is approved, make sure to keep a copy of the approval letter for billing purposes.
Who needs requesting pre-service authorizations?
01
Anyone who is planning to receive healthcare services that require pre-authorization from their insurance company needs to fill out and submit a requesting pre-service authorization form.
02
This may include patients who require complex medical procedures, special treatments, certain medications, diagnostic tests, or referrals to specialists.
03
Healthcare providers and their staff who are responsible for coordinating and obtaining insurance pre-approvals also need to be familiar with the process.
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What is requesting pre-service authorizations?
Requesting pre-service authorizations is the process of obtaining approval from a healthcare provider or insurance company before receiving certain medical services or procedures.
Who is required to file requesting pre-service authorizations?
Patients, healthcare providers, or insurance companies may be required to file requesting pre-service authorizations depending on the type of medical service or procedure.
How to fill out requesting pre-service authorizations?
Requesting pre-service authorizations can usually be filled out online, over the phone, or through a paper form provided by the healthcare provider or insurance company. It typically requires providing details about the patient, the medical service or procedure, and the healthcare provider.
What is the purpose of requesting pre-service authorizations?
The purpose of requesting pre-service authorizations is to ensure that medical services or procedures are necessary, appropriate, and covered by insurance before they are performed.
What information must be reported on requesting pre-service authorizations?
Requesting pre-service authorizations typically require information such as patient details, medical diagnosis, proposed treatment or procedure, healthcare provider information, and insurance coverage details.
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