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Name: Mailing address:Saskatchewan Bariatric Surgical Program Patient Referral Form Height ___weight ___phone number: DOB: HAN:BMI ___ Program Criteria Please ensure patient meets ALL below criteria

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How to fill out bariatric surgery commercial pre-authorization

01

Obtain the pre-authorization form from your insurance company or healthcare provider.

02

Fill out your personal information including name, address, date of birth, and insurance policy number.

03

Provide details on your medical history, including any previous surgeries or medical conditions.

04

Include a letter of medical necessity from your healthcare provider explaining why bariatric surgery is necessary for your health.

05

Submit the completed form along with any supporting documentation to your insurance company for review and approval.

Who needs bariatric surgery commercial pre-authorization?

01

Individuals who are planning to undergo bariatric surgery and want their insurance to cover the procedure.

02

Patients who have insurance coverage that requires pre-authorization for bariatric surgery.

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What is bariatric surgery commercial pre-authorization?

Bariatric surgery commercial pre-authorization is the approval process required by insurance companies before a patient can undergo weight loss surgery.

Who is required to file bariatric surgery commercial pre-authorization?

The healthcare provider performing the bariatric surgery is required to file the commercial pre-authorization.

How to fill out bariatric surgery commercial pre-authorization?

The healthcare provider needs to submit the patient's medical records, procedure details, and insurance information to the insurance company for approval.

What is the purpose of bariatric surgery commercial pre-authorization?

The purpose of pre-authorization is to ensure that the surgery is medically necessary and meets the criteria set by the insurance company.

What information must be reported on bariatric surgery commercial pre-authorization?

The medical records of the patient, the details of the bariatric surgery procedure, and the patient's insurance information must be reported.

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