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Passport Health Plan by Molina Healthcare Marketplace Prior Authorization/PreService Review Guide Effective: 01/01/2022 Refer To Passports website or portal for specific codes that require authorization.

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How to fill out authorization review guide

01

Step 1: Gather all necessary information and documentation required for the authorization review.

02

Step 2: Review the guidelines and instructions provided in the authorization review guide.

03

Step 3: Fill out the required forms accurately and completely, following the provided instructions.

04

Step 4: Submit the completed authorization review guide and accompanying documentation to the designated reviewing authority.

05

Step 5: Follow up on the status of your authorization request and address any additional requirements or questions as needed.

Who needs authorization review guide?

01

Individuals or organizations seeking authorization for a specific action or transaction

02

Anyone required to adhere to regulatory or compliance standards that mandate authorization reviews

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What is authorization review guide?

Authorization review guide is a document that provides guidance on how to obtain approval for certain activities or decisions.

Who is required to file authorization review guide?

Certain individuals or organizations may be required to file an authorization review guide, depending on the specific circumstances.

How to fill out authorization review guide?

Authorization review guide must be filled out completely and accurately, providing all the required information as per the guidelines.

What is the purpose of authorization review guide?

The purpose of authorization review guide is to ensure that all necessary approvals are obtained before proceeding with certain activities.

What information must be reported on authorization review guide?

Authorization review guide typically requires information such as the nature of the activity, parties involved, approval process, and any related documents.

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