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What is an example of prior authorization?

If you need prior authorization, your doctors office will process the request for you at no charge. They will follow up with your insurance company until the request is approved or denied. This process can involve a great deal of back and forth.

How do I complete a prior authorization?

The patient or their representative can contact their insurance company and provide the relevant information to start the Prior Authorization process. Its best to confirm with the healthcare provider if they have the information and are willing to submit the request.

How do I submit an Rx to Express Scripts?

How do I send Express Scripts a new prescription? Your doctors office can send your prescription to us electronically from their office or by fax. Go to Forms Cards under Benefits in the top menu of the home page and select the appropriate form. your prescription to the address listed.

What is the fax number for Express Scripts prior authorization form?

After the form has been completed, it can be faxed to Express Scripts at 1-877-251-5896 for review. Express Scripts will notify your doctor of the approval or denial within 48 hours of receipt of the prior authorization form. Electronic Prior Authorization.

Who handles submitting a request for prior authorization?

Prior authorization is a time-consuming, labor-intensive, and often frustrating process. Requests require several steps, and theres often a lot of back and forth with payers, especially if the initial request isnt accurate and complete.

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