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Medical Policy Emergency Medically Necessary Transportation Document Number: 034 Commercial and Connector/Qualified Health Plans Authorization required for nonemergency medically necessary transportation

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What is non-emergency medically necessary transportation?

Non-emergency medically necessary transportation refers to transportation services provided to individuals who require medical assistance but do not require immediate emergency care.

Who is required to file non-emergency medically necessary transportation?

Healthcare facilities, medical providers, or transportation providers may be required to file for non-emergency medically necessary transportation.

How to fill out non-emergency medically necessary transportation?

The form for non-emergency medically necessary transportation typically requires information about the patient, the medical necessity of the transportation, and the provider details.

What is the purpose of non-emergency medically necessary transportation?

The purpose of non-emergency medically necessary transportation is to ensure that individuals who require medical assistance can safely and comfortably reach their medical appointments.

What information must be reported on non-emergency medically necessary transportation?

Information such as patient's name, medical condition, appointment details, and provider information must be reported on non-emergency medically necessary transportation forms.

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