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The purpose of this form is to request a prior authorization for outpatient services and Part B drugs. Please fax this completed form to 18775285816, Attn. Medical Management. If you have questions
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To fill out www.novitas-solutions.com/webcenter/portal/prior-authorization/hospital-outpatient, follow these steps:
02
Open a web browser and go to www.novitas-solutions.com
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Click on 'Webcenter Portal' in the top right corner of the website.
04
On the Webcenter Portal page, navigate to the 'Prior Authorization' section.
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Click on 'Hospital Outpatient' to access the prior authorization form.
06
Fill out the necessary fields in the form, providing accurate and complete information.
07
Review the form to ensure all the required fields are filled out.
08
Submit the form by clicking on the 'Submit' button.
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Wait for the confirmation message to appear, indicating that your prior authorization request has been submitted successfully.
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You may also want to keep a copy of the submitted form for your records.

Who needs wwwnovitas-solutionscomwebcenterportalprior authorization hospital outpatient?

01
Anyone seeking prior authorization for a hospital outpatient service or procedure would need to visit www.novitas-solutions.com/webcenter/portal/prior-authorization/hospital-outpatient. This may include patients, healthcare providers, or their representatives who are responsible for obtaining authorization from Novitas Solutions for hospital outpatient services.
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Prior authorization for hospital outpatient services is a process in which a healthcare provider must obtain approval from the insurance company before providing certain services to the patient.
Healthcare providers such as hospitals, clinics, and outpatient facilities are required to file for prior authorization for hospital outpatient services.
Providers can fill out the prior authorization form online through the Novitas Solutions web portal or submit the required documentation via fax or mail.
The purpose of prior authorization for hospital outpatient services is to ensure that the services being provided are medically necessary and meet the criteria set by the insurance company.
Providers must report the patient's medical history, diagnosis, treatment plan, and any other relevant information requested by the insurance company.
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