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MOLINA HEALTHCARE OF NEW MEXICO MARKETPLACE PRIOR AUTHORIZATION/PRESERVICE REVIEW GUIDE EFFECTIVE: 07/01/2023 REFER TO MOLINA PROVIDER WEBSITE OR PRIOR AUTHORIZATION LOOKUPTOOL/MATRIX NONSPECIFIC
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Obtain the 2023 prior authorization guide from the appropriate source.
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03
Fill out the necessary forms with accurate and up-to-date information.
04
Include any supporting documentation as requested.
05
Submit the completed prior authorization guide by the specified deadline.
Who needs 2023 prior authorization guide?
01
Healthcare providers who want to request prior authorization for certain services or treatments.
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What is prior authorization guide?
Prior authorization guide is a document outlining the process and requirements for obtaining approval from a health insurance company before a specific medical service or prescription medication is provided.
Who is required to file prior authorization guide?
Healthcare providers and facilities are typically required to file prior authorization guides with health insurance companies.
How to fill out prior authorization guide?
Prior authorization guides are usually filled out by providing specific patient information, details of the requested medical service or medication, and any supporting documentation.
What is the purpose of prior authorization guide?
The purpose of prior authorization guide is to ensure that the medical services or medications being requested are appropriate, necessary, and covered by the patient's insurance plan.
What information must be reported on prior authorization guide?
Information such as patient demographics, medical history, provider information, details of the requested service or medication, and any relevant medical records must be reported on prior authorization guide.
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