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Prior Authorization Request (For Maryland Only) Send completed form to: Case Review Unit CVS/earmark Specialty Programs Fax: 8662496155 CVS/earmark administers the prescription benefit plan for the
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What is prior authorization request?
Prior authorization request is a process used by health insurance companies to determine if they will cover a prescribed medication, treatment, or service before it is provided to the patient.
Who is required to file prior authorization request?
Healthcare providers such as doctors, hospitals, and clinics are required to file prior authorization requests on behalf of the patient.
How to fill out prior authorization request?
Healthcare providers can typically fill out prior authorization requests online through the insurance company's portal or by submitting paper forms.
What is the purpose of prior authorization request?
The purpose of a prior authorization request is to ensure that the prescribed medication, treatment, or service is medically necessary and appropriate for the patient.
What information must be reported on prior authorization request?
Prior authorization requests typically require information such as the patient's medical history, diagnosis, prescribed treatment or medication, and healthcare provider's recommendations.
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