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Date of Request - MemorialCare - memorialcare 2025

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The document is a Referral Authorization Request Form that outlines the process for submitting requests for medical services. It specifies three types of requests: Routine, Urgent, and Emergent, each with different processing times. The form includes sections for provider information, patient details, requested services with associated CPT and ICD-10 codes, and additional information for obstetrical care. It emphasizes the importance of including pertinent clinical documentation to avoid processing delays.

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Versions	Form popularity	Fillable & printable
2016	4 Satisfied (32 Votes)
2013	4.9 Satisfied (32 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What pharmacy is associated with Aetna?

CVS Caremark Mail Service Pharmacy, CVS Specialty and Aetna are part of the CVS Health family of companies. Health benefits and health insurance plans contain exclusions and limitations.

Is MemorialCare part of Aetna?

Aetna Whole Health℠ ─ MemorialCare is a new way of looking at health care. Together were redefining health care by delivering a better patient experience at a much lower cost. Aetna Whole Health℠ MemorialCare changes the payment model constantly raising the bar for improved outcomes and exceptional care.

Does MemorialCare take Aetna?

MemorialCare Medical Group and Urgent Care To see the expanded list of plans, select a health insurance plan type (such as Senior Health Plans), then select the insurance company name (such as Aetna). Applicable copayments and fees for services not covered by insurance are collected at the time of visit.

How do I contact MemorialCare medical group?

Looking for help with MemorialCare Link? Access their Contact Us page or call the Help Desk at (562) 933-9450 . For patients who are deaf or have hearing or speech impairments please dial 711 for California Relay TTD/TTY assistance or use our Virtual Assistant, Mila.

Who is the parent company of Aetna?

Aetna group of companies. Aetna is proud to be a part of the CVS Health family of companies.

What is the timely filing limit for MemorialCare medical group?

Time Limit to File For services provided to members, file a clean claim within 90 days after the date of service for contracted Providers and within 180 days after the date of service for non- contracted.

Who is the CEO of MemorialCare?

Barry Arbuckle, Ph. D. is President and CEO of MemorialCare, a leading Southern California non-profit integrated healthcare system with over 200 sites of care.

Who is the parent company of Aetna better health?

Part of the CVS Health family Aetna Better Health is part of Aetna and the CVS Health family, one of our countrys leading health care organizations.

Date of Request - MemorialCare - memorialcare 2025

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