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Updated: 02/2018 EMMA Approved: 03/2018 Request for Prior Authorization for (golimumab) Website Form www.highmarkhealthoptions.com Submit request via: Fax 18554764158 All requests for (golimumab)
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What is request for prior authorization?
Request for prior authorization is a process by which a healthcare provider obtains approval from an insurance company before providing certain services or medications to a patient.
Who is required to file request for prior authorization?
Healthcare providers, such as doctors, hospitals, and pharmacies, are required to file request for prior authorization.
How to fill out request for prior authorization?
Request for prior authorization can usually be filled out online or by submitting a form provided by the insurance company, including patient information, diagnosis, treatment plan, and supporting documentation.
What is the purpose of request for prior authorization?
The purpose of request for prior authorization is to ensure that the requested medical services or medications are medically necessary and covered by the patient's insurance plan.
What information must be reported on request for prior authorization?
Information such as patient demographics, medical history, diagnosis, treatment plan, healthcare provider information, and any supporting documentation must be reported on request for prior authorization.
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