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PRIOR AUTHORIZATION REQUEST Oral Anticoagulants Patient Information: Name: Member ID: Address: City, State, Zip: Date of Birth:Prescriber Information: Name: NPI: Phone Number: Fax Number Address:
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What is physician administered medication prior?
Physician administered medication prior refers to the approval process that healthcare providers must undergo to obtain authorization for medications that are administered by a physician rather than taken orally by the patient.
Who is required to file physician administered medication prior?
Healthcare providers, specifically physicians and their staff, are required to file physician administered medication prior when seeking authorization for covered medications.
How to fill out physician administered medication prior?
To fill out a physician administered medication prior, the provider should complete the designated form with patient information, details of the medication being requested, relevant medical history, and justification for the treatment.
What is the purpose of physician administered medication prior?
The purpose of physician administered medication prior is to ensure that the medication is medically necessary and covered by the patient's insurance before it is administered.
What information must be reported on physician administered medication prior?
The information that must be reported includes patient demographics, medication details, dosage, administration route, diagnosis, and medical rationale for the medication.
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