Get the free Centene Enterprise Authorization Fax Form - Illinicare

Complete and Fax to: (877) 779-5234 INPATIENT Prior Authorization Fax Form Standard Request Determination within 72 hours of receipt of all necessary information. Urgent Request I certify this request

How to fill out centene enterprise authorization fax

How to fill out Centene Enterprise Authorization Fax:

1. Start by gathering all the necessary information for the authorization. This typically includes the patient's name, date of birth, address, contact information, and insurance details.
2. Read the instructions carefully to ensure that you understand the requirements and any specific details needed for the authorization.
3. Fill in the patient's information accurately in the designated fields on the fax form. Double-check for any errors or missing information.
4. Provide the necessary medical or treatment details that are required for the authorization. This may include specifying the type of service requested, the healthcare provider's information, diagnosis codes, and any supporting documentation.
5. If there are any additional requirements or special circumstances that need to be addressed, make sure to include them in the appropriate sections of the authorization form.
6. Review the completed authorization form thoroughly, making sure that all the information is correct and legible. Any mistakes or omissions could delay the approval process.
7. Sign the authorization form using your legal signature. This is usually required as proof of consent and responsibility for the information provided.
8. Fax the completed authorization form to the designated Centene Enterprise fax number. Ensure that the fax is sent to the correct department or contact person, as specified in the instructions.
9. Keep a copy of the fax confirmation or make a note of the date and time the fax was sent. This will serve as proof of submission in case any issues arise.
10. If necessary, follow up with Centene Enterprise to ensure that the authorization was received and processed. Be prepared to provide any additional information or documentation if requested.

Who needs Centene Enterprise Authorization Fax:

1. Healthcare providers: Medical professionals who need to request authorization for a specific treatment, procedure, or service from Centene Enterprise.
2. Patients: Individuals who are covered by Centene Enterprise insurance plans and require prior authorization for certain medical services or treatments.
3. Centene Enterprise representatives: Employees or agents who handle the processing and review of authorization requests on behalf of Centene Enterprise.

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What is centene enterprise authorization fax?

Centene enterprise authorization fax is a form used to request authorization for services from Centene Corporation.

Who is required to file centene enterprise authorization fax?

Healthcare providers and facilities are required to file centene enterprise authorization fax.

How to fill out centene enterprise authorization fax?

Centene enterprise authorization fax should be filled out with patient information, requested services, and provider details.

What is the purpose of centene enterprise authorization fax?

The purpose of centene enterprise authorization fax is to obtain approval for healthcare services from Centene Corporation.

What information must be reported on centene enterprise authorization fax?

Patient demographics, medical history, requested services, and provider information must be reported on centene enterprise authorization fax.