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09/28/2015 Prior Authorization AETNA BETTER HEALTH OF TEXAS MEDICAID (BEXAR) (Medicaid) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information,
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What is prior authorization?
Prior authorization is a process used by insurance companies to determine if they will cover a specific medication, procedure, or service.
Who is required to file prior authorization?
Healthcare providers or facilities are typically required to file prior authorization on behalf of their patients.
How to fill out prior authorization?
Prior authorization forms can usually be completed online or via fax by providing relevant patient and treatment information.
What is the purpose of prior authorization?
The purpose of prior authorization is to ensure that the requested treatment is medically necessary and to control costs for the insurance company.
What information must be reported on prior authorization?
Prior authorization forms typically require information such as patient demographics, diagnosis, treatment plan, and provider details.
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