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Medicare AdvantageOutreach and Education BulletinAnthem Blue CrossNotification of Prior Authorization Requirement for Emergency Ambulance Transport for Individual Medicare Advantage, MMP, and DSP
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What is notification of prior authorization?
The notification of prior authorization is a process that requires obtaining approval from a payer before certain medical services are provided.
Who is required to file notification of prior authorization?
Healthcare providers and facilities are typically required to file notification of prior authorization.
How to fill out notification of prior authorization?
The notification of prior authorization form must be completed with all relevant patient and treatment information and submitted to the payer for approval.
What is the purpose of notification of prior authorization?
The purpose of notification of prior authorization is to ensure that the medical services being requested are medically necessary and covered by the patient's insurance.
What information must be reported on notification of prior authorization?
The notification of prior authorization typically requires information such as the patient's medical history, the proposed treatment plan, and the provider's credentials.
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