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Pharmacy Prior Authorization AETNA BETTER HEALTH KENTUCKY (MEDICAID) Anticoagulant Injectable Agents (Medicaid) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review
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How to fill out ie previous authorization is

01
Gather all the necessary information such as patient details, medical records, and the procedure or medication for which you are requesting prior authorization.
02
Contact the patient's insurance provider to obtain the prior authorization form or request instructions.
03
Fill out the prior authorization form accurately and completely, providing all required information such as the patient's diagnosis, relevant medical history, and supporting documentation.
04
Attach any additional supporting documents required by the insurance provider, such as clinical notes, test results, or physician's statements.
05
Review the filled-out form and supporting documents for any errors or omissions before submitting them.
06
Submit the completed prior authorization form and supporting documents to the insurance provider through the designated submission method, which can be fax, email, online portal, or mail.
07
Keep a copy of the submitted prior authorization form and supporting documents for your records.
08
Follow up with the insurance provider to ensure the prior authorization request is received and processed in a timely manner.
09
If necessary, provide any additional information or address any inquiries or concerns raised by the insurance provider during the prior authorization review process.
10
Monitor the status of the prior authorization request and communicate with the patient regarding any updates or decisions made by the insurance provider.

Who needs ie previous authorization is?

01
Prior authorization is typically needed by healthcare providers, such as physicians, hospitals, and clinics, when they want to perform a medical procedure or prescribe a medication that requires approval from the patient's insurance provider.
02
It is also required by patients who have insurance coverage and wish to receive certain healthcare services that fall under the prior authorization requirement.
03
Insurance companies or third-party administrators also play a role in determining who needs prior authorization based on their specific coverage policies and guidelines.
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