Get the free We review requests for prior authorization based on medical necessity only
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6. An ICD/diagnosis code is required for all requests. An HCPCS billing code is required for all medical injectable/oncology requests. Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise Healthy Indiana Plan and Hoosier Care Connect Pharmacy Prior Authorization Form Instructions 1. Prescriber signature or authorized representative Providers who are contracted with Anthem to serve Hoosier Healthwise Healthy Indiana Plan and Hoosier Care Connect through an accountable care organization...
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