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Authorization. A covered entity must obtain the individuals written authorization for any use or disclosure of protected health information that is not for treatment, payment or health care operations or otherwise permitted or required by the Privacy Rule.
16 Tips That Speed Up The Prior Authorization Process Create a master list of procedures that require authorizations. Document denial reasons. Sign up for payor newsletters. Stay informed of changing industry standards. Designate prior authorization responsibilities to the same staff member(s).
Typically, within 5-10 business days of receiving the prior authorization request, your insurance company will either: Approve your request. Deny your request.
Pre-authorization can take a few minutes to several days, depending on the complexity of the procedure or service being requested. For example, some medical procedures may require extensive paperwork and review by an insurance provider before they are approved.
Ensure that the PA request is submitted ing to the plans guidelines, and double-check that you meet all requirements before they are submitted. Once your request is submitted, the insurance company may approve or deny it. If it is approved, you will be able to receive the requested treatment.
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If you are unable to use electronic prior authorization, you can call us at 800.88Cigna (882.4462) to submit a prior authorization request.
Please call 1 (800) 997-1654 Monday - Friday, 9 am - 5 pm, ET.

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