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02/22/2016 prior authorization processFCHP FALLON COMMUNITY HEALTH PLAN Aurelia (CHP) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information,
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How to fill out auryxia pharmacy prior authortization

How to fill out auryxia pharmacy prior authortization
01
To fill out Auryxia pharmacy prior authorization:
02
Contact the patient's insurance company to obtain the necessary forms or access them online.
03
Gather all relevant information about the patient, including their personal information, medical history, and diagnosis.
04
Complete the prior authorization form accurately and provide all required documentation, such as medical records, lab results, and prescriptions.
05
Include any additional supporting documentation that may be necessary to justify the need for Auryxia.
06
Review the filled form and attached documents to ensure everything is accurate and complete.
07
Submit the completed prior authorization form and supporting documents to the designated department or address provided by the insurance company.
08
Follow up with the insurance company to track the progress of the prior authorization request and provide any additional information or clarification if required.
09
Once approved, inform the patient and proceed with obtaining and dispensing Auryxia as prescribed.
10
If the prior authorization request is denied, review the insurance company's reasons for denial and consider appealing the decision if appropriate.
Who needs auryxia pharmacy prior authortization?
01
Auryxia pharmacy prior authorization is required for patients who are prescribed Auryxia by their healthcare provider.
02
Typically, insurance companies require prior authorization for certain medications to ensure their appropriate and intended use, and to determine coverage and reimbursement eligibility.
03
Patients who have insurance coverage that includes Auryxia may need to go through the prior authorization process to have the medication approved and covered by their insurance plan.
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What is auryxia pharmacy prior authorization?
Auryxia pharmacy prior authorization is a process required by some health insurance plans to approve coverage for Auryxia (ferric citrate) before the medication can be dispensed at the pharmacy.
Who is required to file auryxia pharmacy prior authorization?
The healthcare provider prescribing Auryxia is typically required to file the prior authorization on behalf of the patient.
How to fill out auryxia pharmacy prior authorization?
To fill out Auryxia pharmacy prior authorization, healthcare providers should complete a prior authorization form provided by the health insurance plan, including patient information, prescription details, and medical necessity documentation.
What is the purpose of auryxia pharmacy prior authorization?
The purpose of Auryxia pharmacy prior authorization is to ensure that the medication is medically necessary and appropriate for the patient, and to confirm that it meets the insurer's coverage criteria.
What information must be reported on auryxia pharmacy prior authorization?
Information required on Auryxia pharmacy prior authorization includes patient demographics, insurance details, diagnosis code, medication dosage and frequency, and supporting medical rationale.
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