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MOLINA HEALTHCARE OF ILLINOIS
2017 PRIOR AUTHORIZATION CODIFICATION LIST
The Molina Healthcare of Illinois (Molina) Prior Authorization Codification List is reviewed for updates quarterly, or
as deemed
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How to fill out 2017 prior authorization codification
How to fill out 2017 prior authorization codification:
01
Gather all necessary information and documentation for the prior authorization request.
02
Ensure you have the proper forms or documents required by the specific insurance provider.
03
Fill out the patient's personal information accurately, including their name, address, date of birth, and insurance information.
04
Provide the healthcare provider's information, including their name, NPI number, and contact details.
05
Specify the treatment or procedure requiring prior authorization, including the CPT or HCPCS code.
06
Provide details about the diagnosis or condition that necessitates the treatment.
07
Include supporting medical records, such as test results or clinical notes, to justify the medical necessity of the treatment.
08
If applicable, include any additional information or documentation requested by the insurance provider.
09
Review and double-check all the information to ensure accuracy before submitting the prior authorization request.
Who needs 2017 prior authorization codification?
01
Healthcare providers: Physicians, nurses, specialists, or any healthcare professionals who are offering treatments or procedures that require prior authorization from insurance providers.
02
Patients: Individuals who have health insurance coverage that requires prior authorization for certain treatments or procedures.
03
Insurance companies: They may require prior authorization for certain treatments or procedures to confirm the medical necessity and determine coverage before providing reimbursement.
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What is prior authorization codification list?
The prior authorization codification list is a list of codes that need to be submitted for approval before certain medical procedures or treatments can be carried out.
Who is required to file prior authorization codification list?
Healthcare providers and facilities are required to file the prior authorization codification list.
How to fill out prior authorization codification list?
Providers need to input the appropriate codes and necessary information for the medical procedure or treatment into the prior authorization codification list.
What is the purpose of prior authorization codification list?
The purpose of the prior authorization codification list is to ensure that the medical procedures or treatments being requested are necessary and meet certain criteria.
What information must be reported on prior authorization codification list?
The prior authorization codification list must include the codes for the medical procedures or treatments, as well as patient information and reasons for the request.
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