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#368 July 2014 BCBSND.com Table of Contents THOR Out of State Preauthorization option now available................................................. 1 Out of State Preauthorization option now available
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How to fill out out of state preauthorization

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How to fill out out of state preauthorization:

01
Obtain the necessary forms: Contact your insurance provider to request the specific forms needed for out of state preauthorization. They may provide them online or through mail.
02
Provide personal information: Fill out your personal details such as name, address, date of birth, contact number, and insurance policy number.
03
Include the treating provider's information: Write down the name, address, and contact details of the healthcare provider who will be providing the services out of state.
04
Specify the services needed: Clearly indicate the medical procedures, treatments, or services that require out of state preauthorization.
05
Attach supporting documentation: Gather any relevant documentation such as medical reports, test results, or treatment plans that support the need for out of state services. Attach these documents to the preauthorization form.
06
Submit the completed form: Follow the instructions provided by your insurance provider to submit the filled out form. This may involve mailing it to a specific address or submitting it electronically through their website.

Who needs out of state preauthorization:

01
Individuals seeking medical services in a different state than their insurance coverage.
02
Patients who require specialized medical treatments or procedures not available locally.
03
Any person under an insurance plan that requires preauthorization for out of state services.
Note: The process may differ depending on your insurance provider, so it is recommended to consult their specific guidelines or contact their customer service for more information.
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Out of state preauthorization is the process of obtaining approval from a health insurance company before receiving medical services outside of your state of residence.
Anyone who intends to seek medical treatment outside of their state of residence and wants their health insurance to cover the costs is required to file out of state preauthorization.
To fill out out of state preauthorization, you typically need to contact your health insurance provider and provide information about the medical services you plan to receive, the healthcare provider, and the location of treatment.
The purpose of out of state preauthorization is to ensure that the medical services being sought outside of one's state of residence are medically necessary and covered by the health insurance plan.
Typically, you need to report details about the medical services, the healthcare provider, the location of treatment, and any relevant medical history or documentation.
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