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1. Schedule of Benefits (Who Pays What) Prior authorization may be required for some services. Please refer to the prior authorization list, which can be found on our website at www.denverhealthmedicalplan.org/priorauthorizationlist.
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How to fill out prior authorizations do not

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To fill out prior authorizations, follow these steps:
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- Start by gathering all the necessary information, such as the patient's name, date of birth, insurance information, and the medication or service requiring prior authorization.
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- Contact the insurance company or go to their website to obtain the prior authorization form.
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- Fill out the form completely, providing accurate and detailed information about the patient, the medication or service, and the healthcare provider.
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- Attach any required supporting documentation, such as medical records or test results.
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- Double-check the form for any errors or missing information before submitting it.
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- Submit the prior authorization form to the insurance company according to their preferred method, which may include fax, online submission, or mail.
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- Keep a copy of the submitted form for your records.
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- Follow up with the insurance company to ensure they received the prior authorization request and to inquire about the status or any additional steps needed.
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- Once you receive confirmation of the prior authorization approval, inform the patient and proceed with the prescribed medication or service.

Who needs prior authorizations do not?

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Prior authorizations are typically required by health insurance companies. It is important to consult the specific insurance policy or contact the insurance provider directly to determine if prior authorization is required for a particular medication or healthcare service.
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Commonly, medications or services that are expensive, non-formulary, or considered to have alternative treatment options may require prior authorizations.
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It is crucial to note that the need for prior authorizations can vary depending on the insurance company and policy. Therefore, it is always recommended to verify with the insurance provider for specific coverage requirements.
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Prior authorizations do not provide approval for a specific medical service or treatment by a healthcare provider.
Healthcare providers are required to file prior authorizations do not.
Prior authorizations do not need to be filled out by the healthcare provider and submitted to the insurance company for approval.
The purpose of prior authorizations do not is to ensure that the medical service or treatment meets the insurance company's guidelines for coverage.
Prior authorizations do not require any information to be reported.
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