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Spinal Surgery Prior Authorization Request Form33049Instructions:1. Use this form when requesting prior authorization of Spinal Surgery procedures for members of EmblemHealth. 2. Please complete and

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How to fill out spinal surgery and fusion

01

Consult with a qualified surgeon to determine if spinal surgery and fusion is necessary.

02

Discuss the benefits and risks of the procedure with your medical team.

03

Complete any pre-operative testing or evaluations as requested by your surgeon.

04

Follow any pre-operative instructions provided by your medical team, including fasting before surgery.

05

Arrive at the hospital or surgical center on the day of your procedure at the designated time.

06

Undergo the surgical procedure as directed by your surgeon.

07

Follow post-operative care instructions provided by your medical team to aid in recovery.

Who needs spinal surgery and fusion?

01

Individuals with severe spinal injuries or deformities.

02

Those suffering from chronic back pain that has not responded to other treatments.

03

People with degenerative conditions of the spine, such as degenerative disc disease or spinal stenosis.

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What is spinal surgery and fusion?

Spinal surgery and fusion is a surgical procedure that involves joining two or more vertebrae together.

Who is required to file spinal surgery and fusion?

Patients who have undergone spinal surgery and fusion are required to file this information with their healthcare provider and insurance company.

How to fill out spinal surgery and fusion?

Patients can fill out the spinal surgery and fusion forms provided by their healthcare provider or insurance company with details of the procedure.

What is the purpose of spinal surgery and fusion?

The purpose of spinal surgery and fusion is to stabilize the spine, reduce pain, and improve overall spinal function.

What information must be reported on spinal surgery and fusion?

Information such as the date of the surgery, type of procedure performed, and any complications or follow-up care must be reported on spinal surgery and fusion forms.

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