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CALIFORNIA Provider Communications Updated prior authorization form for providers Published: Dec 1, 2018 State & Federal / Medical Managed Areas of October 1, 2018, you should be utilizing the new
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How to fill out updated prior authorization form

01
Obtain the updated prior authorization form from the appropriate source (insurance company, healthcare provider, etc.)
02
Carefully review all sections of the form and provide all necessary information accurately
03
Check if any supporting documentation is required and make sure to include it with the completed form
04
Submit the filled out form along with any additional documents through the designated method (online portal, fax, mail, etc.)
05
Follow up with the insurance company or healthcare provider to ensure that the authorization request is being processed

Who needs updated prior authorization form?

01
Individuals seeking medical services that require prior authorization from their insurance company
02
Healthcare providers who need to request authorization for specific treatments or services on behalf of their patients
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The updated prior authorization form is a document that includes any changes or updates to a previously submitted authorization form.
Anyone who has previously submitted an authorization form and needs to make changes or updates is required to file an updated prior authorization form.
To fill out an updated prior authorization form, provide the requested information regarding the changes or updates that need to be made. Make sure to follow the instructions provided on the form.
The purpose of the updated prior authorization form is to ensure that any modifications or updates to an authorization are accurately documented and processed.
The information reported on the updated prior authorization form should include the details of the changes or updates being made to the original authorization.
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