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OUTPATIENT MEDICAL Prior Authorization Fax Form Request for additional units. Existing Authorization Fax to: 8667245057 Units Standard Request Determination within 14 calendar days of receiving all
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How to fill out centene enterprise authorization fax

How to fill out centene enterprise authorization fax:
01
Begin by ensuring that you have the necessary information and forms required to complete the authorization fax. This may include the patient's name, date of birth, medical record number, referring physician information, and insurance details.
02
Start by entering the patient's information accurately. This typically includes their full name, date of birth, and contact information.
03
Provide any relevant medical record numbers or identification numbers associated with the patient's insurance or healthcare provider.
04
Clearly indicate the name and contact information of the referring physician or healthcare professional who is requesting the authorization.
05
Specify the type of service or procedure that requires authorization. This could be a specific medical treatment, diagnostic test, or medication.
06
Include any supporting documentation or medical records that may be required to support the authorization request.
07
Clearly indicate the start and end dates of the requested authorization, ensuring that it aligns with the expected duration of the treatment or service.
08
If applicable, provide any additional information or notes that may be necessary for the reviewer to understand the context of the request.
09
Double-check all the information provided to ensure accuracy and completeness.
10
Once you have filled out the authorization fax, ensure that it is signed by the appropriate healthcare professional or representative before sending it to the designated recipient.
Who needs centene enterprise authorization fax:
01
Patients who have insurance coverage through Centene Health Plans or any of its affiliated health plans.
02
Healthcare providers or facilities that require authorization from Centene to provide specific medical services or procedures to their patients.
03
Referring physicians or healthcare professionals who need to obtain approval from Centene for their patients' treatment plans or referrals to specialists.
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What is centene enterprise authorization fax?
Centene enterprise authorization fax is a form used for submitting authorization requests to Centene for approval.
Who is required to file centene enterprise authorization fax?
Healthcare providers and facilities are required to file centene enterprise authorization fax when seeking approval for healthcare services for Centene members.
How to fill out centene enterprise authorization fax?
Centene enterprise authorization fax must be filled out completely with all required information, including member details, healthcare services requested, and provider information.
What is the purpose of centene enterprise authorization fax?
The purpose of centene enterprise authorization fax is to request approval for healthcare services for Centene members to ensure proper coverage and payment.
What information must be reported on centene enterprise authorization fax?
Centene enterprise authorization fax requires information such as member's name, ID number, healthcare services requested, provider information, and any supporting documentation.
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