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Longer Acute Care (LTAC) Facility Admissions Prior Authorization Request Form Effective May 1, 2019, Blue Cross and Blue Shield of Minnesota and Blue Plus (Blue Cross) providers are required to use
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How to fill out pre-certificationprior authorization requirements for

01
Contact your insurance provider to determine if pre-certification/prior authorization is required for the specific medical procedure or treatment.
02
Obtain the necessary forms from your insurance provider or healthcare provider.
03
Fill out the forms completely and accurately, providing all requested information including medical history, provider details, and treatment plan.
04
Submit the completed forms along with any supporting documentation requested by the insurance provider.
05
Follow up with the insurance provider to ensure the pre-certification/prior authorization request is processed in a timely manner.

Who needs pre-certificationprior authorization requirements for?

01
Patients who have health insurance coverage that requires pre-certification/prior authorization for certain medical procedures or treatments.
02
Healthcare providers who need to obtain approval from the insurance provider before performing a specific procedure or treatment.
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Pre-certification/prior authorization requirements are necessary processes that ensure that certain medical services or treatments are approved by the insurance company before they are provided to the patient.
Healthcare providers, such as doctors or hospitals, are typically required to file pre-certification/prior authorization requirements with the patient's insurance company.
Healthcare providers need to submit specific forms and documentation to the insurance company, detailing the medical services or treatments that are being requested for approval.
The purpose of pre-certification/prior authorization requirements is to ensure that the medical services or treatments being requested are medically necessary and covered by the patient's insurance plan.
Healthcare providers must include details such as the patient's medical history, the recommended treatment plan, and any supporting documentation from other healthcare professionals.
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