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Authorization for Carelon Behavioral Health to Release Confidential InformationImportant: By completing all sections of this form you allow Carelon Behavioral Health, Inc. to disclose health care
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The 83 Carelon authorization is related to the authorization process for healthcare services and benefits, allowing providers to obtain prior approval for certain treatments and procedures.
Healthcare providers and organizations seeking prior authorization for specific medical services and treatments must file the 83 Carelon authorization.
To fill out the 83 Carelon authorization, providers must complete the designated form with accurate patient information, the specific service requested, clinical justification, and submit it through the appropriate channels.
The purpose of the 83 Carelon authorization is to ensure that proposed medical treatments are medically necessary and to manage healthcare costs by obtaining prior approvals.
The information that must be reported includes patient demographics, the type of service requested, the provider's details, relevant clinical information, and supporting documentation.
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