Get the free Spravato (esketamine) Medication Precertification Request. Spravato (esketamine) Med...
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Aetna Recertification Notification Phone: 18667527021 FAX: 18882673277SpravatoTM (ketamine) Medication Recertification Requestor Medicare Advantage Part B: Phone: 18665030857 FAX: 18442687263Page
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How to fill out spravato esketamine medication precertification
How to fill out spravato esketamine medication precertification
01
Obtain the necessary forms: Contact the insurance company or visit their website to find the precertification forms for Spravato Esketamine medication.
02
Gather required information: Collect all the relevant medical information and documentation that supports the need for Spravato Esketamine medication precertification. This may include a prescription from a healthcare provider, medical history, and any other relevant test results.
03
Complete the forms: Fill out the precertification forms thoroughly and accurately. Provide all requested information, including the patient's personal details, insurance information, and medical justification for the medication.
04
Attach supporting documents: Make sure to attach all the necessary supporting documents to the precertification forms. This may include the prescription, medical records, test results, and any other relevant documentation.
05
Review and double-check: Before submitting the precertification forms, review all the information entered and ensure its accuracy. Double-check that all required documents are attached.
06
Submit the forms: Submit the completed precertification forms along with the supporting documents to the designated address or online portal provided by the insurance company.
07
Follow up: After submitting the forms, follow up with the insurance company to ensure they have received the precertification request. Inquire about the expected processing time and any additional steps required.
08
Await approval: Once the precertification request is submitted, wait for the insurance company's decision. They will review the request and determine if the medication is covered under the policy.
09
Seek assistance if needed: If the precertification request is denied, consider seeking assistance from healthcare providers, insurance advocates, or the medication manufacturer to explore alternative options.
10
Repeat if necessary: If the precertification request is denied or expires, you may need to repeat the process and resubmit the forms with updated information or additional documentation.
Who needs spravato esketamine medication precertification?
01
Individuals who require Spravato Esketamine medication may need precertification. Precertification is typically required by insurance companies to determine if the medication is medically necessary and covered under the policy. The need for precertification may vary depending on the insurance plan and its specific guidelines.
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What is spravato esketamine medication precertification?
Spravato esketamine medication precertification is the process of obtaining approval from the insurance company or healthcare provider before receiving the medication.
Who is required to file spravato esketamine medication precertification?
The healthcare provider or prescribing physician is required to file spravato esketamine medication precertification.
How to fill out spravato esketamine medication precertification?
To fill out spravato esketamine medication precertification, the prescribing physician needs to provide relevant medical information and submit the necessary documentation to the insurance company or healthcare provider.
What is the purpose of spravato esketamine medication precertification?
The purpose of spravato esketamine medication precertification is to ensure that the medication is medically necessary and meets the criteria for coverage under the patient's insurance plan.
What information must be reported on spravato esketamine medication precertification?
The spravato esketamine medication precertification form typically requires information such as the patient's diagnosis, medical history, treatment plan, and the prescribing physician's contact information.
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