Get the free Prior Authorization List - Anthem Blue Cross

OHIO PROVIDER MANUAL July 1, 2018Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. Independent licensee of the Blue Cross and Blue Shield Association. ANTHEM is a

How to fill out prior authorization list

How to fill out prior authorization list

1. Obtain the prior authorization form from your healthcare provider or insurance company.
2. Read through the form carefully and fill out all the required fields.
3. Provide accurate and detailed information about the patient, including their name, date of birth, and insurance information.
4. Include the specific medication, treatment, or procedure that requires prior authorization.
5. Attach any supporting documentation or clinical notes that may be requested.
6. Double-check all the information provided to ensure its accuracy and completeness.
7. Submit the filled-out prior authorization form to the designated contact at your healthcare provider or insurance company.
8. Follow up with the provider or insurance company to confirm receipt of the form and inquire about the status of the prior authorization.
9. If necessary, provide any additional information or documentation requested by the provider or insurance company to expedite the prior authorization process.
10. Maintain a copy of the submitted prior authorization form and any related correspondence for your records.

Who needs prior authorization list?

1. Anyone who requires a medication, treatment, or procedure that is not automatically covered by their insurance plan may need a prior authorization list.
2. Healthcare providers, including doctors, nurses, and specialists, often need to create a prior authorization list to ensure their patients receive the necessary care.
3. Insurance companies require prior authorization to verify the medical necessity and cost-effectiveness of certain medications, treatments, or procedures.
4. Patients themselves may need to complete a prior authorization list if they are responsible for obtaining prior approval for certain healthcare services.

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What is prior authorization list?

Prior authorization list is a list of medical services or prescription drugs that require approval from a health insurance provider before they can be covered.

Who is required to file prior authorization list?

Healthcare providers and pharmacies are required to file prior authorization list.

How to fill out prior authorization list?

Providers must fill out the prior authorization form with all necessary information about the patient, diagnosis, requested service or drug, and any supporting documentation.

What is the purpose of prior authorization list?

The purpose of prior authorization list is to control costs, ensure medical necessity, and prevent unnecessary or excessive utilization of healthcare services.

What information must be reported on prior authorization list?

The prior authorization list must include patient information, provider information, diagnosis, requested service or drug, supporting documentation, and reason for the request.