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MEDICARE FORM
CRÉSUS (Ocrelizumab)
Medication Recertification Request
Page 1 of 2
(All fields must be completed and return all pages for recertification review.) Please indicate:Start of treatment,
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How to fill out aetna specialty medication precertification
01
Obtain the Aetna Specialty Medication Precertification Form from the Aetna website or your healthcare provider.
02
Fill out all required fields on the form, including patient information, prescriber information, medication details, and medical justification for the medication.
03
Attach any supporting documentation, such as medical records or test results, that may help to justify the need for the specialty medication.
04
Submit the completed form and supporting documentation to Aetna through the designated submission channel, such as fax or online portal.
05
Wait for a response from Aetna regarding the precertification decision, which may include approval, denial, or request for additional information.
Who needs aetna specialty medication precertification?
01
Patients who have been prescribed a specialty medication that is covered by their Aetna insurance plan.
02
Healthcare providers who are prescribing specialty medications to their patients and need to obtain precertification from Aetna.
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What is Aetna specialty medication precertification?
Aetna specialty medication precertification is a process that requires healthcare providers to obtain approval from Aetna before a patient can receive certain specialty medications. This ensures that the medication is medically necessary and meets the insurance company's criteria.
Who is required to file Aetna specialty medication precertification?
Healthcare providers prescribing specialty medications are required to file Aetna specialty medication precertification on behalf of their patients.
How to fill out Aetna specialty medication precertification?
To fill out Aetna specialty medication precertification, providers typically need to complete a precertification form that includes patient information, medication details, diagnosis, and clinical justification for the prescribed specialty medication.
What is the purpose of Aetna specialty medication precertification?
The purpose of Aetna specialty medication precertification is to ensure that prescribed specialty medications are appropriate for the patient's condition and to manage healthcare costs by verifying medical necessity.
What information must be reported on Aetna specialty medication precertification?
Information required includes patient demographics, insurance details, medication name, dosage, diagnosis information, and supporting clinical documentation.
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