2024Prior Authorization Request FormEnglish Accessible PDF 2026

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  1. Click ‘Get Form’ to open the 2024 Prior Authorization Request Form in the editor.
  2. Begin by selecting the priority of your request: Routine or Urgent. This is crucial as it determines the urgency of processing your authorization.
  3. Fill in the Health Plan Member ID No., Date, and Patient's Name (Last, First, Middle) along with their address and contact information.
  4. Indicate the Type of Service required by checking the appropriate boxes for Hospital, Office, DME, Home Health, or Ambulatory Surgery Center.
  5. Provide details about the Referred Physician and/or Facility including their name, address, phone number, sex, and date of birth of the patient.
  6. Complete the Diagnosis section with ICD-10 Codes and describe the Procedure along with CPT Codes and any necessary injectable codes.
  7. Attach any pertinent progress notes or diagnostic studies that support your request using our platform’s attachment feature.
  8. Finally, fill in details for the Requesting Physician and Person Completing Form including their contact numbers and fax number before submitting.

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Drugs That May Require Prior Authorization Drug ClassDrugs in Class Epidiolex Epidiolex Erythroid Stimulants , , Procrit and Retacrit, Mircera Esbriet Esbriet Evenity Evenity243 more rows
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.
To receive coverage for a medication requiring prior authorization, you can: Ask your healthcare provider to submit the request. Your healthcare provider can submit the request online, by fax or phone by accessing our providers prior authorization information. Submit your own prior authorization request.
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.
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.

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