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Village care max prior authorization form 2025

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The document is a 'Request for Prior Authorization' form that must be completed and faxed to VillageCareMAX Plan for urgent/emergent admissions within 24 hours or for elective services at least two weeks in advance. It requires comprehensive clinical information and emphasizes that incomplete requests may delay the authorization process. The document also outlines the need for member eligibility confirmation and clarifies that approval does not guarantee payment. Additionally, it includes sections for provider details, service information, and diagnosis codes.

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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 is the phone number for Village Care Max prior authorization?

Call Member Services at 1-888 807-6806 (TTY 711), 7 days a week, 8 am to 8 pm. Mail your request to: MedImpact Healthcare Systems, Inc., Attention: PA Department, 10181 Scripps Gateway Ct, San Diego, CA 92131.

Who is the CEO of Village Care Max?

Leadership Emma DeVito Chief Executive OfficerShaun Ruskin Chief Operating Officer Bruce Kessler Senior Vice President Business Intelligence Joel Levi Vice President General Counsel Yitzy Hollander Vice President Finance 4 more rows Dec 16, 2024

What does VillageCare do?

VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible.

What is the phone number for Villagecaremax Medicare?

Call us at 800-4MY-MAXCARE (800-469-6292). We will answer any questions you have about the program.

What are prior authorization forms?

Prior authorization requires your doctor or provider to obtain approval from your health plan before providing health care services or prescribing prescription drugs. Without prior authorization, your health plan may not pay for your treatment or medication. (Emergency care doesnt need prior authorization.)

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What is the phone number for LA Care prior authorization?

The toll free number is (877) 431-2273. Collect calls regarding UM issues are accepted. Members who need language assistance to discuss UM issues may contact L.A. Care at (888) 839-9909 or TTY/TDD (866) 522-2731.

What is the phone number for MultiPlan provider portal?

For assistance in finding other providers participating in the MultiPlan Network for referral purposes, contact Service Operations via the online Provider Portal at or by phone at (800) 950-7040.

Village care max prior authorization form 2025

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