Get the free Durable Medical Equipment Preauth form - bcbswny.com
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Utilization Management
Durable Medical Equipment Preauthorization Form
FAX to (716) 8877913
Phone: 18006773086
In order to facilitate your request, this form must be completed in its entirety.
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How to fill out durable medical equipment preauth
How to fill out durable medical equipment preauth
01
To fill out a durable medical equipment preauth, follow these steps:
02
Gather all relevant information and documents, including the patient's medical history, diagnosis, and prescribed equipment.
03
Contact the patient's insurance provider to verify if preauthorization is required for the specific equipment.
04
Obtain the necessary preauthorization form from the insurance company or download it from their website.
05
Fill out the preauthorization form accurately and completely, providing all requested details.
06
Attach any supporting documentation, such as medical records or prescriptions, as required by the insurance company.
07
Double-check the completed form for any errors or omissions before submitting it.
08
Submit the filled-out form and supporting documents to the insurance company through their preferred method (mail, fax, or online portal).
09
Keep a copy of the completed form and any related documents for your records.
10
Follow up with the insurance company to ensure that the preauthorization request is received and processed in a timely manner.
11
Once you receive the preauthorization decision, inform the patient and proceed accordingly.
Who needs durable medical equipment preauth?
01
Durable medical equipment preauthorization is typically required for individuals who are in need of specialized medical equipment that is deemed medically necessary.
02
This includes patients who require items such as wheelchairs, hospital beds, oxygen systems, prosthetics, orthotics, and other durable medical equipment.
03
The need for preauthorization may vary depending on the insurance provider and specific policy terms.
04
It is recommended to check with the patient's insurance company to determine if preauthorization is required for the desired durable medical equipment.
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