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Xolair is indicated for patients 6 years of age and older with moderate to severe persistent asthma who have a positive skin test or in vitro reactivity to a perennial aeroallergen and whose symptoms are inadequately controlled with inhaled corticosteroids.
Why does my health insurance company need a prior authorization? The prior authorization process gives your health insurance company a chance to review how necessary a medical treatment or medication may be in treating your condition. For example, some brand-name medications are very costly.
Facilities are encouraged to verify that a prior authorization has been approved before providing a service or item, unless the service is urgent or emergent care. Payment may be denied for services rendered without authorization.
How does the prior authorization process work? Typically, within 5-10 business days of receiving the prior authorization request, your insurance company will either: Approve your request.
All Non-Participating/Out-of-Network Providers require prior authorization for all outpatient and elective inpatient services. Prior Authorization is required for the services listed below whether billed on UB-04 or HCFA 1500.
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Depending on a patient's plan, you may be required to request a prior authorization or precertification for any number of prescriptions or services. A full list of CPT codes are available on the CignaforHCP portal .
You and your specialist have decided on XOLAIR to treat your allergic asthma. But, there are some steps that take place before you can get your first XOLAIR injection. This can take about 2 weeks. Let's break it down.
Depending on a patient's plan, you may be required to request a prior authorization or precertification for any number of prescriptions or services. A full list of CPT codes are available on the CignaforHCP portal .
Fax #: 866.873. 8279 - Please allow 24-48 hours for acknowledgement of pending review.
Prior authorization\u2014sometimes called precertification or prior approval\u2014is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.

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