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Prior Authorization of Radiology/Cardiology for Fidel is Care Provider Orientation 2015 encore healthcare. All Rights Reserved. This presentation contains CONFIDENTIAL and PROPRIETARY information.
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How to fill out prior authorization of radiologycardiology

How to fill out prior authorization of radiologycardiology
01
To fill out a prior authorization for radiology/cardiology, follow these steps:
02
Obtain the prior authorization form from the insurance company or download it from their website.
03
Fill out the patient's information accurately, including their name, date of birth, and insurance details.
04
Provide the referring physician's information, including their name, address, and contact details.
05
Specify the type of radiology/cardiology procedure being requested for prior authorization.
06
Attach supporting documentation such as medical reports, test results, and clinical justification for the requested procedure.
07
Complete any additional sections or questions on the form as required by the insurance company.
08
Submit the filled-out prior authorization form along with the supporting documents to the insurance company through the designated channel, which can be fax, mail, or an online portal.
09
Await a response from the insurance company regarding the approval or denial of the prior authorization request.
10
If the request is approved, proceed with scheduling the radiology/cardiology procedure as planned. If denied, consult with the referring physician and insurance company to explore alternative options or appeal the decision.
Who needs prior authorization of radiologycardiology?
01
Prior authorization of radiology/cardiology is typically needed by individuals who have health insurance plans that require pre-approval for certain medical procedures.
02
The specific criteria for requiring prior authorization may vary depending on the insurance company and the type of procedure being requested.
03
Generally, individuals who are planning to undergo expensive or complex radiology/cardiology procedures, such as MRI scans, CT scans, angiograms, or heart catheterizations, are likely to require prior authorization.
04
It is recommended to check the insurance policy or contact the insurance company directly to determine whether prior authorization is necessary for a specific radiology/cardiology procedure.
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