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Requesting Electronic Prescription Drug Prior Authorization …
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WebPayment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices. For specific details, please refer to the provider manual. If you are uncertain that prior authorization is needed, please submit a … WebPrior Authorization Request Form Fax to 586-693-4829 Effective: 01/01/2024 Version: 12/05/2024 Page 2 of 2 SUPPORTING DOCUMENTATION The following documentation is not required but may be submitted. Only submit clinical information that supports the request for service(s) to determine medical necessity or specifically requested … WebHealthcare is complicated, and it’s our mission to make it simpler and more effective. We’ll bring everything we’ve got — innovation, expertise and passion — to ensure you and your team succeed. Our Creed We believe no one should have to navigate the cost and complexity of healthcare alone. the dating list imdb