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AUTHORIZATION OR STEP THERAPY EXCEPTION REQUEST FORM Instructions: Please fill out all applicable sections on both pages completely and legibly. Attach any additional documentation that is important

How to fill out authorization or step therapy

How to fill out authorization or step therapy

1. To fill out authorization or step therapy, follow these steps:
2. Obtain the necessary forms or documentation from your healthcare provider or insurance company.
3. Read through the forms or documentation carefully to understand the specific requirements and guidelines.
4. Fill out the authorization or step therapy form accurately and completely. Provide all the requested information, including your personal details, medical history, and information about your prescribed treatment or medication.
5. Attach any supporting documents or medical records that may be required to support your request.
6. Review the completed form to ensure all the information is correct and legible.
7. Submit the filled-out authorization or step therapy form to your healthcare provider or insurance company through the designated method, such as mail, fax, or online portal.
8. Keep a copy of the completed form and any supporting documents for your records.
9. Follow up with your healthcare provider or insurance company to ensure the authorization or step therapy process is progressing as expected.
10. If necessary, provide any additional information or clarification requested by your healthcare provider or insurance company.
11. Monitor the status of your authorization or step therapy request and follow any further instructions provided by your healthcare provider or insurance company.

Who needs authorization or step therapy?

1. Authorization or step therapy may be required for individuals who:
2. - Have insurance plans that require pre-approval or prior authorization for certain treatments, medications, or procedures.
3. - Are prescribed medications or treatments that are expensive, have potential side effects, or are not considered first-line options according to insurance coverage policies.
4. - Are seeking coverage for a medication or treatment that is not included in the insurance company's formulary or preferred drug list.
5. - Are attempting to bypass certain steps in a treatment plan to access more advanced or costly treatments.
6. - Are prescribed medications or treatments that have potential interactions with other medications and require additional review.

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What is authorization or step therapy?

Authorization or step therapy is a process used by insurance companies to control costs and ensure appropriate use of medication by requiring prior approval or trying less expensive medications first before moving on to more expensive ones.

Who is required to file authorization or step therapy?

Healthcare providers are typically required to file authorization or step therapy with the patient's insurance company.

How to fill out authorization or step therapy?

Authorization or step therapy forms can usually be completed online or submitted via fax or mail with the necessary information and documentation.

What is the purpose of authorization or step therapy?

The purpose of authorization or step therapy is to ensure that patients receive the most cost-effective and medically appropriate treatment.

What information must be reported on authorization or step therapy?

Information such as patient demographics, diagnosis, medication being requested, and supporting documentation from the healthcare provider may be required on the authorization or step therapy form.