Prior authorization request definition

Prior authorization request means a request for pre-approval from an insurer for a specified prescription or quantity of a prescription before the prescription is dispensed.
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Prior authorization request means a Service Authorization Request by the Enrollee, or a provider on the Enrollee’s behalf, for coverage of a new service, whether for a new authorization period or within an existing authorization period, before such service is provided to the Enrollee.
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Prior authorization request means a method by which practitioners seek approval from Contractor to render medical services. Contractor’s utilization review coordinator is responsible for granting approval of providing specific, non-emergency Covered Services in advance of rendering such services. Article 2 - Definitions Sharp Health Plan 00-91035
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Examples of Prior authorization request in a sentence

  • Its symptoms were similar to organic psychosis, which is caused by taking drugs or great quantities of alcohol.

  • Prior authorization request, including IPC with Level of Service recommendation is created and sent to Plan.

  • PA is required for:(a) Orally administered enteral nutrition products under WAC 182-554-500; and(b) Tube-delivered enteral equipment, replacement parts and rela- ted supplies under WAC 182-554-600(3).(3) Prior authorization request form.

  • When the orthodontist has assured the above requirements are met, use a separate Prior authorization request must be submitted on an American Dental Association (ADA) claim form.

  • With thegoal in the interval 2k · [ 1 , 2 ] the performance gap narrowsare not typical of planning benchmarks.

  • However, the theory is based on the inviscid fluid approxi¬ mations so that this resisting effect is not included.

  • Large blank lenses (59 mm eye size and over).• W8130 — Prior authorization request forcontracted frames.

  • Prior authorization request procedure Fallon Health Weinberg partners with CVS health (Fallon Health Weinberg's Pharmacy Benefit Manager) for pharmacy prior authorization.

  • Existing Participant Work Flow ACBAS CenterB DHealth Plan CBAS Center  CBAS Center sends Prior authorization request, including IPC with Level of Service recommendation to Plan Plan receives Prior Authorization request Plan will handle recommendation through existing prior authorization process CBAS services begin F2F ifC RequiredExisting Participants – Process Detail A.

  • Prior authorization request rate for wheelchair repairs Healthy Connections Forms Request to lounge a Healthy Connections provider member enrollment and.

Related to Prior authorization request

  • Service Authorization Request means a Provider’s or Enrollee’s request to the Contractor for the provision of a service.

  • Prior authorization means that we must approve the Services in advance in order for the Services to be covered.

  • Request for Proposal or “RFP” means all documents, including those attached or incorporated by reference, used for soliciting proposals.