Get Cigna Radiology Prior Authorization
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How to fill out the Cigna Radiology Prior Authorization online
Filling out the Cigna Radiology Prior Authorization is an essential step in ensuring that patients receive timely medical imaging services. This guide will provide you with a clear, step-by-step approach to accurately complete the form online, allowing for a smoother submission process.
Follow the steps to complete the Cigna Radiology Prior Authorization form online
- Click ‘Get Form’ button to obtain the form and launch it in your preferred document editor.
- Begin by providing the office information of the ordering provider, including the date, contact details, requesting provider name, and federal tax ID.
- Indicate the request type, selecting either 'Urgent' or 'Routine'. Note that urgent requests are defined as having a significant impact on the member’s health if not completed within 72 hours.
- Fill in the member information accurately, including the member's name, date of birth, member ID, and member group number.
- If applicable, complete the rendering provider information. This section is essential for Medicare and Medicaid prior authorization requests.
- Provide the clinical information required for the authorization. This includes CPT/HCPCS codes, ICD-9 codes, and documentation of symptoms and complaints.
- List any pertinent recent lab tests relevant to the current problem, including the test date and results.
- Document medications used for the current problem and any prior tests or treatments related to it.
- Address any additional history or clinical facts supporting the examination request, using extra sheets if necessary.
- Once all sections are completed, the form must be signed by the provider. Ensure that you include the date of signing.
- Submit the completed form via fax to UnitedHealthcare along with any additional documentation needed.
Ensure a seamless authorization process by completing and submitting your Cigna Radiology Prior Authorization online today.
Generally, obtaining Cigna Radiology Prior Authorization should take no more than three to five business days. However, actual times can vary due to workload or complexity of the request. To minimize delays, provide all required information upfront. Consider using US Legal Forms to streamline your prior authorization requests effectively.
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