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REQUEST FOR RECERTIFICATION OF
SERVICES
CHIP requires recertification for inpatient stays and some outpatient procedures
and therapies. Recertification is usually the responsibility of the provider
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How to fill out request for precertification of

How to fill out request for precertification of
01
To fill out a request for precertification, follow these steps:
02
Gather all necessary documents and information, such as your medical records, diagnosis, recommended treatment, and insurance information.
03
Contact your insurance provider to obtain the precertification request form or download it from their website.
04
Fill out the form accurately and completely, providing all required information.
05
Attach any supporting documents or medical records that are requested.
06
Review the completed form and supporting documents to ensure everything is in order and accurate.
07
Submit the request form and supporting documents to your insurance provider either online, by mail, or in person.
08
Keep a copy of the submitted request for your records and make note of any reference or confirmation numbers provided by your insurance provider.
09
Wait for a response from your insurance provider regarding the precertification request. It may take some time for them to review and make a decision.
10
Follow up with your insurance provider if you do not receive a response within a reasonable timeframe.
11
Once you receive a response, review it carefully and take any necessary actions based on the decision made by your insurance provider.
Who needs request for precertification of?
01
Anyone who requires medical treatment or services that may not be covered by their insurance plan without precertification needs to submit a request for precertification.
02
This includes individuals who are planning to undergo certain surgeries, procedures, or treatments, or those who need access to specific medications or therapies that require prior approval.
03
It is important to check with your insurance provider to determine if precertification is necessary for the specific treatment or service you require.
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What is request for precertification of?
Request for precertification of is a formal process required by an insurance company to approve certain medical treatments or procedures before they are performed.
Who is required to file request for precertification of?
Healthcare providers or patients may be required to file a request for precertification of certain medical treatments or procedures.
How to fill out request for precertification of?
Request for precertification of can typically be filled out online through the insurance company's website or by contacting the insurance company directly.
What is the purpose of request for precertification of?
The purpose of request for precertification of is to ensure that medical treatments or procedures meet the insurance company's criteria for coverage.
What information must be reported on request for precertification of?
Request for precertification of may require information such as the patient's medical history, the proposed treatment or procedure, and the healthcare provider's credentials.
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