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CAREFIRST This fax machine is located in a secure location as required by HIPAA regulations. Fax complete signed and dated forms to CVS/Caremark at 8888360730. Please contact CVS/Caremark at 8002945979
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How to fill out precertification request for authorization
01
Obtain the precertification request form from the insurance company or download it from their website.
02
Fill out all the required information on the form, including patient demographics, insurance information, medical provider details, and the reason for the requested treatment or procedure.
03
Attach any supporting documentation, such as medical records or test results, that may be needed to support the request.
04
Submit the completed form and supporting documentation to the insurance company via mail, fax, or online portal.
05
Follow up with the insurance company to ensure that the precertification request is being processed and to provide any additional information or documentation that may be requested.
Who needs precertification request for authorization?
01
Patients who are seeking approval for a medical treatment or procedure that requires precertification from their insurance company.
02
Healthcare providers who are requesting authorization for a treatment or procedure on behalf of their patients.
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What is precertification request for authorization?
A precertification request for authorization is a formal process by which healthcare providers seek approval from insurance companies before providing certain medical services or treatments to ensure they are covered under the patient's insurance plan.
Who is required to file precertification request for authorization?
Typically, healthcare providers, such as physicians or medical institutions, are required to file the precertification request for authorization on behalf of the patient receiving the medical service.
How to fill out precertification request for authorization?
To fill out a precertification request for authorization, providers must complete the designated form, providing patient information, details about the proposed service or treatment, the medical necessity for the service, and any supporting documentation required by the insurance provider.
What is the purpose of precertification request for authorization?
The purpose of the precertification request for authorization is to ensure that specific medical services are medically necessary and covered by the patient's insurance plan before they are provided, preventing unexpected costs for both patients and providers.
What information must be reported on precertification request for authorization?
The information that must be reported includes the patient's identification details, insurance information, a description of the procedure or service requested, diagnosis codes, and any relevant medical history or notes supporting the necessity of the service.
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