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PCFXShoulder Arthroplasty Recertification Information Request Formalities to: Aetna plans Innovation Health plans Health benefits and health insurance plans offered and/or underwritten by the following:
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Fill in your personal information such as name, date of birth, and contact details in the designated fields.
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Patients who require shoulder arthroplasty (shoulder replacement surgery) and need to obtain precertification or pre-authorization from their insurance company.
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Medical professionals, such as surgeons or healthcare providers, who are responsible for completing and submitting the pre-certification form on behalf of their patients.
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The shoulder-arthroplasty-precert-form accessible pdf is a document used to obtain prior authorization for shoulder arthroplasty procedures. This form ensures that necessary medical criteria are met before surgery.
Healthcare providers, including surgeons and their staff, are required to file the shoulder-arthroplasty-precert-form to secure approval for the procedure on behalf of the patient.
To fill out the form, complete all required sections, including patient demographics, medical history, and specific details regarding the proposed procedure. Ensure that all information is accurate and submitted as per the guidelines provided.
The purpose of the form is to provide necessary clinical information to insurance providers to determine the medical necessity of the shoulder arthroplasty procedure before it is performed.
The form must report patient identification details, the physician's information, diagnosis codes, previous treatment attempts, and relevant medical records that support the need for shoulder arthroplasty.
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