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2015 PRIOR AUTHORIZATION LIST Community Health Alliance is Tennessee's first COOP. We are nonprofit, consumer directed, and designed to offer affordable, high quality health insurance. Care Managers
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How to fill out 2015 prior authorization list

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How to fill out a 2015 prior authorization list:

01
Start by obtaining the prior authorization form from your insurance company. This can usually be found on their website or by contacting their customer service.
02
Fill in your personal information accurately, including your full name, date of birth, and insurance ID number.
03
Provide the details of the healthcare provider or facility that requires prior authorization. This may include their name, address, and contact information.
04
Specify the type of service or medication that needs prior authorization. Include the name, dosage, and any other relevant information.
05
Indicate the reason for the prior authorization request. This could be due to medical necessity, preferred drug alternatives, or other factors. Provide as much detail as possible to support your request.
06
Attach any supporting documents required by your insurance company. This may include medical records, test results, or a letter of medical necessity from your healthcare provider.
07
Review the completed form thoroughly to ensure all information is accurate and complete.
08
Submit the prior authorization request to your insurance company. This can usually be done electronically through their online portal or by faxing the form to the designated number.

Who needs a 2015 prior authorization list?

01
Individuals who have health insurance coverage and need specific healthcare services, procedures, or medications in 2015 may require a prior authorization list.
02
Healthcare providers or facilities that offer services or treatments requiring prior authorization from insurance companies may also need a 2015 prior authorization list.
03
Employers or human resources departments that manage health insurance plans for their employees may utilize a 2015 prior authorization list to ensure that necessary medical procedures for their employees receive the required approval from insurance providers.
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Prior authorization list is a list of services, treatments, or medications that require approval from a health insurance company before they are covered.
Healthcare providers, such as doctors or hospitals, are required to file prior authorization lists.
Healthcare providers must typically submit specific forms or documentation to the insurance company detailing the medical necessity of the requested services or medications.
The purpose of prior authorization lists is to control costs, ensure appropriate use of services, and prevent unnecessary or excessive treatments.
The information reported on a prior authorization list may include patient demographics, diagnosis codes, treatment plans, and supporting documentation.
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