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“ “coordinated care, “Mental Health InpatientSUBMIT TO:Prior Authorization Fax Fertilization Management Department 1145 Broadway Suite 300 Tacoma WA 98402 Phone: 18776444613 Fax: 18772126669*
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To fill out Washington - inpatient prior, follow these steps:
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Obtain the Washington - inpatient prior form from the relevant authority or download it from their website.
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Fill in your personal details such as name, contact information, and insurance details.
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Provide information about the patient for whom the inpatient prior is being requested, including their name, date of birth, and medical history.
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Specify the type of service or treatment that requires prior authorization and provide relevant details such as the healthcare provider's name, facility name, and anticipated dates of service.
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Attach any supporting documents or medical records that may be required to support the prior authorization request.
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Note: It is recommended to consult with your healthcare provider or insurance company for specific instructions and assistance in filling out the Washington - inpatient prior form.

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Washington - inpatient prior is needed by individuals who require inpatient medical services or treatments that are covered by their insurance plan but require prior authorization.
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Both patients and healthcare providers may need to initiate the Washington - inpatient prior process to ensure the treatment is authorized and covered by insurance.
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Washington - inpatient prior refers to the form that needs to be submitted prior to a patient being admitted for inpatient care in Washington state.
Healthcare providers and facilities are required to file Washington - inpatient prior before admitting a patient for inpatient care.
Washington - inpatient prior can be filled out online or in paper form, and it requires certain information about the patient and their medical history.
The purpose of Washington - inpatient prior is to ensure that the patient's medical history is properly documented before they are admitted for inpatient care.
The information required on Washington - inpatient prior includes patient demographics, medical history, current medications, allergies, and contact information for the patient's primary care provider.
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