Health Help Prior Authorization Phone Number

What is pre authorization in healthcare?

(prē'aw-thōr-i-zā'shŭn), A prerequisite, often intended as a rate-limiting or cost-containment step, in the provision of care and treatment to an insured patient. In the U.S., authorization of medical necessity by a primary care physician before a health care service is performed.

What medications need prior authorization?

Category * Drug Class Drugs Requiring Prior Authorization for Medical Necessity 1 Formulary Options (May Require Prior Authorization) High Blood Pressure * Angiotensin II Receptor Antagonists ATACAND DIOVAN EDARBI TEVETEN. candesartan, eprosartan, irbesartan, losartan, telmisartan, valsartan , BENICAR.

How to get a prior authorization request approved?

Tips to Get a Health Insurance Prior Authorization Request Approved

• Talk to the Decision-Making Person. ...
• Read the Clinical Guidelines First. ...
• Submit Thorough and Accurate Info. ...
• Request Denied? ...
• Make Sure Your Insurer Follows the Rules. ...

What is a prior authorization list?

The “Prior Authorization List” is a list of designated medical and surgical services and select prescription Drugs that require prior authorization under the medical benefit. The list below includes specific equipment, services, drugs, and procedures requiring review and/or supplemental documentation prior to payment authorization.