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- Click ‘Get Form’ to open the 13 835a form in the editor.
- Begin by entering the organization name in the 'Org' field, indicating whether this is a request for authorization or reimbursement adjustment.
- In the 'Authorization Type' section, specify if this is a new request or an update by selecting either '1' for New or '2' for Update.
- Fill in the client's name and Client ID, ensuring all required fields are completed accurately.
- For updates, enter the previous authorization number in the 'Reference Auth #' field.
- Complete the provider information by entering the Pharmacy NPI # and fax number, as well as Prescriber details including NPI #, specialty, phone, and fax numbers.
- Specify the date of fill and indicate if it was signed ‘Dispense as Written’ (Yes/No).
- Detail the drug name, strength, form, actual per unit cost, AWP per unit cost, RX#, wholesaler information, product ID, quantity requested, days supply, and directions for use (SIG).
- Lastly, provide any medical information such as diagnosis code and name along with patient residence details and additional comments if necessary.
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Who is responsible for obtaining preauthorization?
The healthcare provider is usually responsible for initiating prior authorization by submitting a request form to a patients insurance provider. As mentioned in the How does prior authorization work? section above, this will then often prompt a time-consuming back and forth between the provider and payer.
Is it difficult to get prior authorization?
Almost half (47%) of those who were required to get a prior authorization in the past two years say it was somewhat difficult (34%) or very difficult (13%) to navigate the process of getting prior approval for a health care service, treatment, or needed medication.
Why wont my doctor do a prior authorization?
A denied prior auth request can occur when a providers office submits a wrong billing code, misspells a name or makes another clerical error. Requests can also be denied if the prior auth request lacks sufficient information about why the medication or treatment is needed.
Can I fill out my own prior authorization form?
Prior authorizations can take time because your prescriber has to submit paperwork and your insurance company needs time to review it. This process can take a few days or even longer especially if your insurer asks for more information or doesnt classify the request as urgent.
How long do prior authorizations take to get approved?
Many prior authorization requests are processed in 1 to 3 business days, especially for standard medications with properly completed paperwork. Some insurance companies may take up to 5 to 7 days as part of their normal process.
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Related links
All prior authorization requests must be accompanied by a completed General Information for Authorization form (HCA 13-835), Agency forms are available on-line
Please Fax this form and any supporting documents to 1-833-991-0704. 13-835A (04/24) HCA 13-835A (04/24)