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REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE Determinations form may be sent to us by mail or fax:
Address:
Anthem Healthineers
Medicare Prior Authorization Review
P.O. Box 47686
San Antonio, TX
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What is medicare prior authorization review?
Medicare prior authorization review is a process where healthcare providers must get approval from Medicare before providing certain services or medications to patients.
Who is required to file medicare prior authorization review?
Healthcare providers, including physicians, hospitals, and pharmacies, are required to file medicare prior authorization review.
How to fill out medicare prior authorization review?
Healthcare providers can typically fill out medicare prior authorization review forms online or through their electronic health record systems.
What is the purpose of medicare prior authorization review?
The purpose of medicare prior authorization review is to ensure that the services or medications being requested are medically necessary and meet Medicare's coverage criteria.
What information must be reported on medicare prior authorization review?
Healthcare providers must report patient demographics, medical history, diagnosis codes, procedure codes, and supporting documentation on medicare prior authorization review forms.
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